|
RF TITER
|
Facility
|
OP
|
$68.00
|
|
|
Service Code
|
HCPCS 86431
|
| Hospital Charge Code |
38476034
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$15.42
|
| Rate for Payer: Aetna Medicare Advantage |
$18.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.47
|
| Rate for Payer: Cigna Commercial |
$34.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.67
|
| Rate for Payer: Clover Medicare Advantage |
$5.39
|
| Rate for Payer: EmblemHealth Commercial |
$17.01
|
| Rate for Payer: Humana Medicare Advantage |
$5.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.67
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.40
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.54
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.80
|
|
|
RGT-POTASSIUM/K+/5 PK/250 SLDS
|
Facility
|
OP
|
$128.70
|
|
| Hospital Charge Code |
270652642
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.10 |
| Max. Negotiated Rate |
$64.35 |
| Rate for Payer: Aetna Commercial |
$48.91
|
| Rate for Payer: Aetna Medicare Advantage |
$38.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.82
|
| Rate for Payer: Cigna Commercial |
$64.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$38.61
|
| Rate for Payer: Oxford Commercial |
$25.74
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.74
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.41
|
|
|
RGT-POTASSIUM/K+/5 PK/250 SLDS
|
Facility
|
IP
|
$128.70
|
|
| Hospital Charge Code |
270652642
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.30 |
| Max. Negotiated Rate |
$19.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.30
|
|
|
RH ANTIBODY TITER
|
Facility
|
IP
|
$117.65
|
|
|
Service Code
|
HCPCS 86886
|
| Hospital Charge Code |
3100674
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$17.65 |
| Max. Negotiated Rate |
$17.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$17.65
|
|
|
RH ANTIBODY TITER
|
Facility
|
OP
|
$117.65
|
|
|
Service Code
|
HCPCS 86886
|
| Hospital Charge Code |
3100674
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$3.12 |
| Max. Negotiated Rate |
$405.73 |
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Medicare Advantage |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$9.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.70
|
| Rate for Payer: Cigna Commercial |
$405.73
|
| Rate for Payer: Cigna Medicare Advantage |
$5.18
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.30
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$17.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.14
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.12
|
|
|
RH BLOOD TYPING
|
Facility
|
IP
|
$141.40
|
|
|
Service Code
|
HCPCS 86901
|
| Hospital Charge Code |
38471071
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$21.21 |
| Max. Negotiated Rate |
$21.21 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.21
|
|
|
RH BLOOD TYPING
|
Facility
|
OP
|
$141.40
|
|
|
Service Code
|
HCPCS 86901
|
| Hospital Charge Code |
38471071
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$2.39 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$8.13
|
| Rate for Payer: Aetna Medicare Advantage |
$9.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$2.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.79
|
| Rate for Payer: Cigna Commercial |
$88.94
|
| Rate for Payer: Cigna Medicare Advantage |
$2.99
|
| Rate for Payer: Clover Medicare Advantage |
$2.84
|
| Rate for Payer: EmblemHealth Commercial |
$8.97
|
| Rate for Payer: Humana Medicare Advantage |
$3.08
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$2.99
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.42
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.21
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.39
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$2.99
|
| Rate for Payer: Wellcare Medicare Advantage |
$2.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.75
|
|
|
RHC/LHC/LV CORONARY ANGIO
|
Facility
|
IP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93461
|
| Hospital Charge Code |
7411245
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,803.90 |
| Max. Negotiated Rate |
$1,803.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
|
|
RHC/LHC/LV CORONARY ANGIO
|
Facility
|
OP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93461
|
| Hospital Charge Code |
366893461
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$289.83 |
| Max. Negotiated Rate |
$13,902.76 |
| Rate for Payer: Aetna Commercial |
$10,476.08
|
| Rate for Payer: Aetna Medicare Advantage |
$12,478.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,851.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,194.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13,902.76
|
| Rate for Payer: Cigna Commercial |
$7,720.31
|
| Rate for Payer: Cigna Medicare Advantage |
$3,851.50
|
| Rate for Payer: Clover Medicare Advantage |
$3,658.93
|
| Rate for Payer: EmblemHealth Commercial |
$11,554.50
|
| Rate for Payer: Humana Medicare Advantage |
$3,967.05
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,851.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,607.80
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Oxford Commercial |
$7,559.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$12,870.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$289.83
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$318.69
|
|
|
RHC/LHC/LV CORONARY ANGIO
|
Facility
|
OP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93461
|
| Hospital Charge Code |
7411245
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$289.83 |
| Max. Negotiated Rate |
$13,902.76 |
| Rate for Payer: Aetna Commercial |
$10,476.08
|
| Rate for Payer: Aetna Medicare Advantage |
$12,478.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,851.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,194.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13,902.76
|
| Rate for Payer: Cigna Commercial |
$7,720.31
|
| Rate for Payer: Cigna Medicare Advantage |
$3,851.50
|
| Rate for Payer: Clover Medicare Advantage |
$3,658.93
|
| Rate for Payer: EmblemHealth Commercial |
$11,554.50
|
| Rate for Payer: Humana Medicare Advantage |
$3,967.05
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,851.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,607.80
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Oxford Commercial |
$7,559.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$12,870.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$289.83
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$318.69
|
|
|
RHC/LHC/LV CORONARY ANGIO
|
Facility
|
IP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93461
|
| Hospital Charge Code |
366893461
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,803.90 |
| Max. Negotiated Rate |
$1,803.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
|
|
RHCW/CORONARY SVG & IMA
|
Facility
|
IP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93457
|
| Hospital Charge Code |
7411233
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,803.90 |
| Max. Negotiated Rate |
$1,803.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
|
|
RHCW/CORONARY SVG & IMA
|
Facility
|
OP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93457
|
| Hospital Charge Code |
7411233
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$289.83 |
| Max. Negotiated Rate |
$13,902.76 |
| Rate for Payer: Aetna Commercial |
$10,476.08
|
| Rate for Payer: Aetna Medicare Advantage |
$12,478.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,851.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,194.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13,902.76
|
| Rate for Payer: Cigna Commercial |
$7,720.31
|
| Rate for Payer: Cigna Medicare Advantage |
$3,851.50
|
| Rate for Payer: Clover Medicare Advantage |
$3,658.93
|
| Rate for Payer: EmblemHealth Commercial |
$11,554.50
|
| Rate for Payer: Humana Medicare Advantage |
$3,967.05
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,851.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,607.80
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Oxford Commercial |
$7,559.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$12,870.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$289.83
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$318.69
|
|
|
RHC WITH CORONARY ANGIO
|
Facility
|
OP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93456
|
| Hospital Charge Code |
7411229
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$289.83 |
| Max. Negotiated Rate |
$13,902.76 |
| Rate for Payer: Aetna Commercial |
$10,476.08
|
| Rate for Payer: Aetna Medicare Advantage |
$12,478.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13,902.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,851.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,194.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13,902.76
|
| Rate for Payer: Cigna Commercial |
$7,720.31
|
| Rate for Payer: Cigna Medicare Advantage |
$3,851.50
|
| Rate for Payer: Clover Medicare Advantage |
$3,658.93
|
| Rate for Payer: EmblemHealth Commercial |
$11,554.50
|
| Rate for Payer: Humana Medicare Advantage |
$3,967.05
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,851.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,607.80
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Oxford Commercial |
$7,559.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$12,870.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$289.83
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,851.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$318.69
|
|
|
RHC WITH CORONARY ANGIO
|
Facility
|
IP
|
$12,026.00
|
|
|
Service Code
|
HCPCS 93456
|
| Hospital Charge Code |
7411229
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,803.90 |
| Max. Negotiated Rate |
$1,803.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,803.90
|
|
|
Rheumatoid Arthritis Factor
|
Facility
|
IP
|
$108.00
|
|
|
Service Code
|
HCPCS 86431
|
| Hospital Charge Code |
39888010
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.20 |
| Max. Negotiated Rate |
$16.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.20
|
|
|
Rheumatoid Arthritis Factor
|
Facility
|
OP
|
$108.00
|
|
|
Service Code
|
HCPCS 86431
|
| Hospital Charge Code |
39888010
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$15.42
|
| Rate for Payer: Aetna Medicare Advantage |
$18.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.47
|
| Rate for Payer: Cigna Commercial |
$54.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.67
|
| Rate for Payer: Clover Medicare Advantage |
$5.39
|
| Rate for Payer: EmblemHealth Commercial |
$17.01
|
| Rate for Payer: Humana Medicare Advantage |
$5.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.67
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.40
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.54
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.86
|
|
|
RHEUMATOID FACTOR
|
Facility
|
OP
|
$282.00
|
|
|
Service Code
|
HCPCS 86430
|
| Hospital Charge Code |
38476021
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$3.48 |
| Max. Negotiated Rate |
$141.00 |
| Rate for Payer: Aetna Commercial |
$16.70
|
| Rate for Payer: Aetna Medicare Advantage |
$19.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$22.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$22.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$22.16
|
| Rate for Payer: Cigna Commercial |
$141.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6.14
|
| Rate for Payer: Clover Medicare Advantage |
$5.83
|
| Rate for Payer: EmblemHealth Commercial |
$18.42
|
| Rate for Payer: Humana Medicare Advantage |
$6.32
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$6.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$84.60
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.91
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.47
|
|
|
RHEUMATOID FACTOR
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86431
|
| Hospital Charge Code |
39900413
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
RHEUMATOID FACTOR
|
Facility
|
IP
|
$108.00
|
|
|
Service Code
|
HCPCS 86431
|
| Hospital Charge Code |
3002318
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$16.20 |
| Max. Negotiated Rate |
$16.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.20
|
|
|
RHEUMATOID FACTOR
|
Facility
|
IP
|
$282.00
|
|
|
Service Code
|
HCPCS 86430
|
| Hospital Charge Code |
38476021
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$42.30 |
| Max. Negotiated Rate |
$42.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.30
|
|
|
RHEUMATOID FACTOR
|
Facility
|
OP
|
$108.00
|
|
|
Service Code
|
HCPCS 86431
|
| Hospital Charge Code |
3002318
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$15.42
|
| Rate for Payer: Aetna Medicare Advantage |
$18.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.47
|
| Rate for Payer: Cigna Commercial |
$54.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.67
|
| Rate for Payer: Clover Medicare Advantage |
$5.39
|
| Rate for Payer: EmblemHealth Commercial |
$17.01
|
| Rate for Payer: Humana Medicare Advantage |
$5.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.67
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.40
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.54
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.86
|
|
|
RHEUMATOID FACTOR
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86431
|
| Hospital Charge Code |
39900413
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$4.54 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$15.42
|
| Rate for Payer: Aetna Medicare Advantage |
$18.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.47
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.67
|
| Rate for Payer: Clover Medicare Advantage |
$5.39
|
| Rate for Payer: EmblemHealth Commercial |
$17.01
|
| Rate for Payer: Humana Medicare Advantage |
$5.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.67
|
| 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 |
$4.54
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
RHEUMATOID FACTOR IgA
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
38479750A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.34 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$46.97
|
| Rate for Payer: Aetna Medicare Advantage |
$55.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.34
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$17.27
|
| Rate for Payer: Clover Medicare Advantage |
$16.41
|
| Rate for Payer: EmblemHealth Commercial |
$51.81
|
| Rate for Payer: Humana Medicare Advantage |
$17.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$17.27
|
| 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 |
$13.82
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
RHEUMATOID FACTOR IgA
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
38479750A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
