|
RVSC EVSC FPVT ST ATHRC SF 1
|
Facility
|
OP
|
$80,096.45
|
|
|
Service Code
|
HCPCS 37275
|
| Hospital Charge Code |
403437275
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,930.32 |
| Max. Negotiated Rate |
$78,613.74 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78,613.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78,613.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| 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 |
$78,613.74
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24,028.94
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12,014.47
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,930.32
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,122.56
|
|
|
RVSC EVSC FPVT ST ATHRC SF 1
|
Facility
|
OP
|
$80,096.45
|
|
|
Service Code
|
HCPCS 37275
|
| Hospital Charge Code |
404637275
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,930.32 |
| Max. Negotiated Rate |
$78,613.74 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78,613.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78,613.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| 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 |
$78,613.74
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24,028.94
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12,014.47
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,930.32
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,122.56
|
|
|
RVSC EVSC FPVT ST ATHRC SF 1
|
Facility
|
IP
|
$80,096.45
|
|
|
Service Code
|
HCPCS 37275
|
| Hospital Charge Code |
404637275
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$12,014.47 |
| Max. Negotiated Rate |
$12,014.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12,014.47
|
|
|
RVSC EVSC TPVT ANGIO CPLX 1
|
Facility
|
IP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37282
|
| Hospital Charge Code |
404637282
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,882.29 |
| Max. Negotiated Rate |
$7,882.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
|
|
RVSC EVSC TPVT ANGIO CPLX 1
|
Facility
|
OP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37282
|
| Hospital Charge Code |
403437282
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,266.42 |
| Max. Negotiated Rate |
$49,506.31 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,506.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,506.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,506.31
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15,764.58
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,266.42
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,392.54
|
|
|
RVSC EVSC TPVT ANGIO CPLX 1
|
Facility
|
IP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37282
|
| Hospital Charge Code |
403437282
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$7,882.29 |
| Max. Negotiated Rate |
$7,882.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
|
|
RVSC EVSC TPVT ANGIO CPLX 1
|
Facility
|
OP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37282
|
| Hospital Charge Code |
404637282
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,266.42 |
| Max. Negotiated Rate |
$49,506.31 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,506.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,506.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,506.31
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15,764.58
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,266.42
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,392.54
|
|
|
RVSC EVSC TPVT ST ATHR CP X1
|
Facility
|
OP
|
$87,891.48
|
|
|
Service Code
|
HCPCS 37294
|
| Hospital Charge Code |
404637294
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,118.18 |
| Max. Negotiated Rate |
$78,613.74 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78,613.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78,613.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| 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 |
$78,613.74
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26,367.44
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13,183.72
|
| Rate for Payer: UnitedHealthcare Community & State |
$2,118.18
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2,329.12
|
|
|
RVSC EVSC TPVT ST ATHR CP X1
|
Facility
|
IP
|
$87,891.48
|
|
|
Service Code
|
HCPCS 37294
|
| Hospital Charge Code |
404637294
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$13,183.72 |
| Max. Negotiated Rate |
$13,183.72 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13,183.72
|
|
|
RW ACCUCHECK
|
Facility
|
IP
|
$21.00
|
|
|
Service Code
|
HCPCS 82948
|
| Hospital Charge Code |
84206150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.15 |
| Max. Negotiated Rate |
$3.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.15
|
|
|
RW ACCUCHECK
|
Facility
|
OP
|
$21.00
|
|
|
Service Code
|
HCPCS 82948
|
| Hospital Charge Code |
84206150
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.56 |
| Max. Negotiated Rate |
$124.00 |
| Rate for Payer: Aetna Commercial |
$13.71
|
| Rate for Payer: Aetna Medicare Advantage |
$16.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.19
|
| Rate for Payer: Cigna Commercial |
$10.50
|
| Rate for Payer: Cigna Medicare Advantage |
$5.04
|
| Rate for Payer: Clover Medicare Advantage |
$4.79
|
| Rate for Payer: EmblemHealth Commercial |
$15.12
|
| Rate for Payer: Humana Medicare Advantage |
$5.19
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.04
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.30
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$124.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.03
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.56
|
|
|
RW ACCUCHECK
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82948
|
| Hospital Charge Code |
87502315
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
RW ACCUCHECK
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82948
|
| Hospital Charge Code |
87502315
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.90 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$13.71
|
| Rate for Payer: Aetna Medicare Advantage |
$16.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.19
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.04
|
| Rate for Payer: Clover Medicare Advantage |
$4.79
|
| Rate for Payer: EmblemHealth Commercial |
$15.12
|
| Rate for Payer: Humana Medicare Advantage |
$5.19
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.04
|
| 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 |
$4.03
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
RW ACTHIB VIAL
|
Facility
|
IP
|
$61.00
|
|
|
Service Code
|
HCPCS 90648
|
| Hospital Charge Code |
84206360
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.15 |
| Max. Negotiated Rate |
$14.76 |
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.76
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.15
|
|
|
RW ACTHIB VIAL
|
Facility
|
OP
|
$61.00
|
|
|
Service Code
|
HCPCS 90648
|
| Hospital Charge Code |
84206360
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.47 |
| Max. Negotiated Rate |
$52.27 |
| Rate for Payer: Aetna Commercial |
$23.18
|
| Rate for Payer: Aetna Medicare Advantage |
$18.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$52.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.55
|
| Rate for Payer: Cigna Commercial |
$30.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.76
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.62
|
|
|
RW ADACEL T DAP PFS
|
Facility
|
IP
|
$2,913.40
|
|
|
Service Code
|
HCPCS 90715
|
| Hospital Charge Code |
84206200
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$437.01 |
| Max. Negotiated Rate |
$705.04 |
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$705.04
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$437.01
|
|
|
RW ADACEL T DAP PFS
|
Facility
|
OP
|
$2,913.40
|
|
|
Service Code
|
HCPCS 90715
|
| Hospital Charge Code |
84206200
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$70.21 |
| Max. Negotiated Rate |
$1,456.70 |
| Rate for Payer: Aetna Commercial |
$1,107.09
|
| Rate for Payer: Aetna Medicare Advantage |
$874.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$742.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$742.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$742.92
|
| Rate for Payer: Cigna Commercial |
$1,456.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$705.04
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$437.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$70.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$77.21
|
|
|
RW ALBUTEROL INH. 0.83MG/ML SO
|
Facility
|
OP
|
$19.00
|
|
| Hospital Charge Code |
83652629
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.46 |
| Max. Negotiated Rate |
$9.50 |
| Rate for Payer: Aetna Commercial |
$7.22
|
| Rate for Payer: Aetna Medicare Advantage |
$5.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.84
|
| Rate for Payer: Cigna Commercial |
$9.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.70
|
| Rate for Payer: Oxford Commercial |
$3.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.50
|
|
|
RW ALBUTEROL INH. 0.83MG/ML SO
|
Facility
|
IP
|
$19.00
|
|
| Hospital Charge Code |
83652629
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$2.85 |
| Max. Negotiated Rate |
$2.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.85
|
|
|
RW ANAL PAP SMEAR
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 88160
|
| Hospital Charge Code |
87502296
|
|
Hospital Revenue Code
|
319
|
| Min. Negotiated Rate |
$9.40 |
| Max. Negotiated Rate |
$175.00 |
| Rate for Payer: Aetna Commercial |
$93.46
|
| Rate for Payer: Aetna Medicare Advantage |
$111.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$124.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$124.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$34.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$124.03
|
| Rate for Payer: Cigna Commercial |
$68.87
|
| Rate for Payer: Cigna Medicare Advantage |
$34.36
|
| Rate for Payer: Clover Medicare Advantage |
$32.64
|
| Rate for Payer: EmblemHealth Commercial |
$103.08
|
| Rate for Payer: Humana Medicare Advantage |
$35.39
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$34.36
|
| 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 |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.40
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$34.36
|
| Rate for Payer: Wellcare Medicare Advantage |
$34.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.34
|
|
|
RW ANAL PAP SMEAR
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 88160
|
| Hospital Charge Code |
87502296
|
|
Hospital Revenue Code
|
319
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
RW ANAL PAP SMEAR
|
Facility
|
IP
|
$328.27
|
|
|
Service Code
|
HCPCS 88160
|
| Hospital Charge Code |
87592286
|
|
Hospital Revenue Code
|
319
|
| Min. Negotiated Rate |
$49.24 |
| Max. Negotiated Rate |
$49.24 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.24
|
|
|
RW ANAL PAP SMEAR
|
Facility
|
OP
|
$328.27
|
|
|
Service Code
|
HCPCS 88160
|
| Hospital Charge Code |
87592286
|
|
Hospital Revenue Code
|
319
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$175.00 |
| Rate for Payer: Aetna Commercial |
$93.46
|
| Rate for Payer: Aetna Medicare Advantage |
$111.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$124.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$124.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$34.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$124.03
|
| Rate for Payer: Cigna Commercial |
$68.87
|
| Rate for Payer: Cigna Medicare Advantage |
$34.36
|
| Rate for Payer: Clover Medicare Advantage |
$32.64
|
| Rate for Payer: EmblemHealth Commercial |
$103.08
|
| Rate for Payer: Humana Medicare Advantage |
$35.39
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$34.36
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$98.48
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.91
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$34.36
|
| Rate for Payer: Wellcare Medicare Advantage |
$34.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.70
|
|
|
RW ANOSCOPY
|
Facility
|
IP
|
$274.00
|
|
|
Service Code
|
HCPCS 46600
|
| Hospital Charge Code |
87502615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$41.10 |
| Max. Negotiated Rate |
$41.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.10
|
|
|
RW ANOSCOPY
|
Facility
|
OP
|
$274.00
|
|
|
Service Code
|
HCPCS 46600
|
| Hospital Charge Code |
87502615
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6.60 |
| Max. Negotiated Rate |
$2,220.00 |
| Rate for Payer: Aetna Commercial |
$429.92
|
| Rate for Payer: Aetna Medicare Advantage |
$512.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$570.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$570.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$158.06
|
| 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 |
$570.55
|
| Rate for Payer: Cigna Commercial |
$316.85
|
| Rate for Payer: Cigna Medicare Advantage |
$158.06
|
| Rate for Payer: Clover Medicare Advantage |
$150.16
|
| Rate for Payer: EmblemHealth Commercial |
$474.18
|
| Rate for Payer: Humana Medicare Advantage |
$162.80
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$158.06
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.20
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,220.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.60
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.26
|
|
