|
PSYCHOTHERAPY 45 MINUTES ADD E
|
Facility
|
IP
|
$425.00
|
|
|
Service Code
|
HCPCS 90836
|
| Hospital Charge Code |
84518011
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$63.75 |
| Max. Negotiated Rate |
$63.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.75
|
|
|
PSYCHOTHERAPY, 60 MIN (53+)
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90837
|
| Hospital Charge Code |
83246165
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY, 60 MIN (53+)
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90837
|
| Hospital Charge Code |
83246165
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$117.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
87504040
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
OP
|
$1,017.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
94810175
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$24.51 |
| Max. Negotiated Rate |
$508.50 |
| Rate for Payer: Aetna Commercial |
$386.46
|
| Rate for Payer: Aetna Medicare Advantage |
$305.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$259.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$259.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$259.33
|
| Rate for Payer: Cigna Commercial |
$508.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$305.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$152.55
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26.95
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
IP
|
$1,017.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
94810175
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$152.55 |
| Max. Negotiated Rate |
$152.55 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$152.55
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
87504040
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84504045
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84504045
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
87506035
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY 60 MINUTES
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
87506035
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84509015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84509015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84518015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84511015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84518015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84517015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84511015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY 60 MINUTES ADD E
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90838
|
| Hospital Charge Code |
84517015
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$122.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY CRISIS 1ST 60MIN
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
83246175
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY CRISIS 1ST 60MIN
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90839
|
| Hospital Charge Code |
83246175
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$120.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY CRISIS ADD 30MIN
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
83246180
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY CRISIS ADD 30MIN
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS 90840
|
| Hospital Charge Code |
83246180
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
PSYCHOTHERAPY NON-MD 60 MINS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90837
|
| Hospital Charge Code |
84517013
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$117.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
|
PSYCHOTHERAPY NON-MD 60 MINS
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS 90837
|
| Hospital Charge Code |
84509013
|
|
Hospital Revenue Code
|
914
|
| Min. Negotiated Rate |
$13.26 |
| Max. Negotiated Rate |
$761.18 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$761.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$117.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$761.18
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.26
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.57
|
|
