|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55710
|
| Hospital Charge Code |
404155710
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55710
|
| Hospital Charge Code |
404155710
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55709
|
| Hospital Charge Code |
404155709
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55708
|
| Hospital Charge Code |
404155708
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55708
|
| Hospital Charge Code |
404155708
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55709
|
| Hospital Charge Code |
1600000832
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55709
|
| Hospital Charge Code |
404155709
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55705
|
| Hospital Charge Code |
1600000829
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55707
|
| Hospital Charge Code |
404155707
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55705
|
| Hospital Charge Code |
160000213
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,016.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Oxford Commercial |
$3,248.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$5,311.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55705
|
| Hospital Charge Code |
1600000829
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,016.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Oxford Commercial |
$3,248.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$5,311.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55707
|
| Hospital Charge Code |
1600000830
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55707
|
| Hospital Charge Code |
1600000830
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55712
|
| Hospital Charge Code |
404155712
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55709
|
| Hospital Charge Code |
1600000832
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55707
|
| Hospital Charge Code |
404155707
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55710
|
| Hospital Charge Code |
1600000833
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55708
|
| Hospital Charge Code |
1600000831
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55711
|
| Hospital Charge Code |
1600000844
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55711
|
| Hospital Charge Code |
404155711
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
IP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55705
|
| Hospital Charge Code |
160000213
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$854.73 |
| Max. Negotiated Rate |
$854.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55710
|
| Hospital Charge Code |
1600000833
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$15,116.59 |
| Rate for Payer: Aetna Commercial |
$11,390.73
|
| Rate for Payer: Aetna Medicare Advantage |
$13,568.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,116.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,187.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15,116.59
|
| Rate for Payer: Cigna Commercial |
$8,394.37
|
| Rate for Payer: Cigna Medicare Advantage |
$4,187.77
|
| Rate for Payer: Clover Medicare Advantage |
$3,978.38
|
| Rate for Payer: EmblemHealth Commercial |
$12,563.31
|
| Rate for Payer: Humana Medicare Advantage |
$4,313.40
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,187.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,187.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE NEEDLE PUNCH BX
|
Facility
|
OP
|
$5,698.20
|
|
|
Service Code
|
HCPCS 55714
|
| Hospital Charge Code |
1600000846
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$137.33 |
| Max. Negotiated Rate |
$22,993.64 |
| Rate for Payer: Aetna Commercial |
$17,326.29
|
| Rate for Payer: Aetna Medicare Advantage |
$20,638.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$22,993.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$22,993.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6,369.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,626.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$22,993.64
|
| Rate for Payer: Cigna Commercial |
$12,768.54
|
| Rate for Payer: Cigna Medicare Advantage |
$6,369.96
|
| Rate for Payer: Clover Medicare Advantage |
$6,051.46
|
| Rate for Payer: EmblemHealth Commercial |
$19,109.88
|
| Rate for Payer: Humana Medicare Advantage |
$6,561.06
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$6,369.96
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,709.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$854.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$137.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6,369.96
|
| Rate for Payer: Wellcare Medicare Advantage |
$6,369.96
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$151.00
|
|
|
PROSTATE SPECIF ANTIGEN
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 84153
|
| Hospital Charge Code |
3007671
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
PROSTATE SPECIF ANTIGEN
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 84153
|
| Hospital Charge Code |
3007671
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$50.02
|
| Rate for Payer: Aetna Medicare Advantage |
$59.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$66.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$66.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$47.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$66.38
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$18.39
|
| Rate for Payer: Clover Medicare Advantage |
$17.47
|
| Rate for Payer: EmblemHealth Commercial |
$55.17
|
| Rate for Payer: Humana Medicare Advantage |
$18.94
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$18.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$117.00
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.71
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.39
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
