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Service Code HCPCS C1874
Hospital Charge Code 270650361C
Hospital Revenue Code 278
Min. Negotiated Rate $120.50
Max. Negotiated Rate $2,500.00
Rate for Payer: Aetna Commercial $1,900.00
Rate for Payer: Aetna Medicare Advantage $1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,275.00
Rate for Payer: Cigna Commercial $2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,100.00
Rate for Payer: Qualcare PPO/HMO/WC $750.00
Rate for Payer: UnitedHealthcare Community & State $120.50
Rate for Payer: Wellpoint Medicaid Managed Care $132.50
Service Code HCPCS C1874
Hospital Charge Code 270650362C
Hospital Revenue Code 278
Min. Negotiated Rate $750.00
Max. Negotiated Rate $1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,100.00
Rate for Payer: Qualcare PPO/HMO/WC $750.00
Service Code HCPCS C1874
Hospital Charge Code 270650362C
Hospital Revenue Code 278
Min. Negotiated Rate $120.50
Max. Negotiated Rate $2,500.00
Rate for Payer: Aetna Commercial $1,900.00
Rate for Payer: Aetna Medicare Advantage $1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,275.00
Rate for Payer: Cigna Commercial $2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,100.00
Rate for Payer: Qualcare PPO/HMO/WC $750.00
Rate for Payer: UnitedHealthcare Community & State $120.50
Rate for Payer: Wellpoint Medicaid Managed Care $132.50
Service Code HCPCS C1874
Hospital Charge Code 270650363C
Hospital Revenue Code 278
Min. Negotiated Rate $120.50
Max. Negotiated Rate $2,500.00
Rate for Payer: Aetna Commercial $1,900.00
Rate for Payer: Aetna Medicare Advantage $1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,275.00
Rate for Payer: Cigna Commercial $2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,100.00
Rate for Payer: Qualcare PPO/HMO/WC $750.00
Rate for Payer: UnitedHealthcare Community & State $120.50
Rate for Payer: Wellpoint Medicaid Managed Care $132.50
Service Code HCPCS C1874
Hospital Charge Code 270650363C
Hospital Revenue Code 278
Min. Negotiated Rate $750.00
Max. Negotiated Rate $1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,100.00
Rate for Payer: Qualcare PPO/HMO/WC $750.00
Hospital Charge Code 270650364C
Hospital Revenue Code 278
Min. Negotiated Rate $1,050.00
Max. Negotiated Rate $1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,694.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,540.00
Rate for Payer: Qualcare PPO/HMO/WC $1,050.00
Hospital Charge Code 270650364C
Hospital Revenue Code 278
Min. Negotiated Rate $168.70
Max. Negotiated Rate $3,500.00
Rate for Payer: Aetna Commercial $2,660.00
Rate for Payer: Aetna Medicare Advantage $2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,785.00
Rate for Payer: Cigna Commercial $3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,694.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,540.00
Rate for Payer: Qualcare PPO/HMO/WC $1,050.00
Rate for Payer: UnitedHealthcare Community & State $168.70
Rate for Payer: Wellpoint Medicaid Managed Care $185.50
Service Code HCPCS C1874
Hospital Charge Code 270650359C
Hospital Revenue Code 278
Min. Negotiated Rate $750.00
Max. Negotiated Rate $1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,100.00
Rate for Payer: Qualcare PPO/HMO/WC $750.00
Service Code HCPCS C1874
Hospital Charge Code 270650359C
Hospital Revenue Code 278
Min. Negotiated Rate $120.50
Max. Negotiated Rate $2,500.00
Rate for Payer: Aetna Commercial $1,900.00
Rate for Payer: Aetna Medicare Advantage $1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,275.00
Rate for Payer: Cigna Commercial $2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,100.00
Rate for Payer: Qualcare PPO/HMO/WC $750.00
Rate for Payer: UnitedHealthcare Community & State $120.50
Rate for Payer: Wellpoint Medicaid Managed Care $132.50
Service Code HCPCS C1874
Hospital Charge Code 270682639
Hospital Revenue Code 278
Min. Negotiated Rate $117.49
Max. Negotiated Rate $2,437.50
Rate for Payer: Aetna Commercial $1,852.50
Rate for Payer: Aetna Medicare Advantage $1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,243.12
Rate for Payer: Cigna Commercial $2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Rate for Payer: UnitedHealthcare Community & State $117.49
Rate for Payer: Wellpoint Medicaid Managed Care $129.19
Service Code HCPCS C1874
Hospital Charge Code 270682639
Hospital Revenue Code 278
Min. Negotiated Rate $731.25
Max. Negotiated Rate $1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Service Code HCPCS C1874
Hospital Charge Code 270682640
Hospital Revenue Code 278
Min. Negotiated Rate $731.25
Max. Negotiated Rate $1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Service Code HCPCS C1874
Hospital Charge Code 270682640
Hospital Revenue Code 278
Min. Negotiated Rate $117.49
Max. Negotiated Rate $2,437.50
Rate for Payer: Aetna Commercial $1,852.50
Rate for Payer: Aetna Medicare Advantage $1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,243.12
Rate for Payer: Cigna Commercial $2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Rate for Payer: UnitedHealthcare Community & State $117.49
Rate for Payer: Wellpoint Medicaid Managed Care $129.19
Service Code HCPCS C1874
Hospital Charge Code 270682641
Hospital Revenue Code 278
Min. Negotiated Rate $117.49
Max. Negotiated Rate $2,437.50
Rate for Payer: Aetna Commercial $1,852.50
Rate for Payer: Aetna Medicare Advantage $1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,243.12
Rate for Payer: Cigna Commercial $2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Rate for Payer: UnitedHealthcare Community & State $117.49
Rate for Payer: Wellpoint Medicaid Managed Care $129.19
Service Code HCPCS C1874
Hospital Charge Code 270682641
Hospital Revenue Code 278
Min. Negotiated Rate $731.25
Max. Negotiated Rate $1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Service Code HCPCS C1874
Hospital Charge Code 270682642
Hospital Revenue Code 278
Min. Negotiated Rate $132.55
Max. Negotiated Rate $2,750.00
Rate for Payer: Aetna Commercial $2,090.00
Rate for Payer: Aetna Medicare Advantage $1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,402.50
Rate for Payer: Cigna Commercial $2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,210.00
Rate for Payer: Qualcare PPO/HMO/WC $825.00
Rate for Payer: UnitedHealthcare Community & State $132.55
Rate for Payer: Wellpoint Medicaid Managed Care $145.75
Service Code HCPCS C1874
Hospital Charge Code 270682642
Hospital Revenue Code 278
Min. Negotiated Rate $825.00
Max. Negotiated Rate $1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,210.00
Rate for Payer: Qualcare PPO/HMO/WC $825.00
Service Code HCPCS C1874
Hospital Charge Code 270682643
Hospital Revenue Code 278
Min. Negotiated Rate $731.25
Max. Negotiated Rate $1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Service Code HCPCS C1874
Hospital Charge Code 270682643
Hospital Revenue Code 278
Min. Negotiated Rate $117.49
Max. Negotiated Rate $2,437.50
Rate for Payer: Aetna Commercial $1,852.50
Rate for Payer: Aetna Medicare Advantage $1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,243.12
Rate for Payer: Cigna Commercial $2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Rate for Payer: UnitedHealthcare Community & State $117.49
Rate for Payer: Wellpoint Medicaid Managed Care $129.19
Service Code HCPCS C1874
Hospital Charge Code 270682644
Hospital Revenue Code 278
Min. Negotiated Rate $731.25
Max. Negotiated Rate $1,179.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Service Code HCPCS C1874
Hospital Charge Code 270682644
Hospital Revenue Code 278
Min. Negotiated Rate $117.49
Max. Negotiated Rate $2,437.50
Rate for Payer: Aetna Commercial $1,852.50
Rate for Payer: Aetna Medicare Advantage $1,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,243.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,243.12
Rate for Payer: Cigna Commercial $2,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,179.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,072.50
Rate for Payer: Qualcare PPO/HMO/WC $731.25
Rate for Payer: UnitedHealthcare Community & State $117.49
Rate for Payer: Wellpoint Medicaid Managed Care $129.19
Service Code HCPCS C1874
Hospital Charge Code 270682645
Hospital Revenue Code 278
Min. Negotiated Rate $825.00
Max. Negotiated Rate $1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,210.00
Rate for Payer: Qualcare PPO/HMO/WC $825.00
Service Code HCPCS C1874
Hospital Charge Code 270682645
Hospital Revenue Code 278
Min. Negotiated Rate $132.55
Max. Negotiated Rate $2,750.00
Rate for Payer: Aetna Commercial $2,090.00
Rate for Payer: Aetna Medicare Advantage $1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,402.50
Rate for Payer: Cigna Commercial $2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,210.00
Rate for Payer: Qualcare PPO/HMO/WC $825.00
Rate for Payer: UnitedHealthcare Community & State $132.55
Rate for Payer: Wellpoint Medicaid Managed Care $145.75
Service Code HCPCS C1874
Hospital Charge Code 270682646
Hospital Revenue Code 278
Min. Negotiated Rate $123.51
Max. Negotiated Rate $2,562.50
Rate for Payer: Aetna Commercial $1,947.50
Rate for Payer: Aetna Medicare Advantage $1,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,306.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,306.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1,306.88
Rate for Payer: Cigna Commercial $2,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,240.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,127.50
Rate for Payer: Qualcare PPO/HMO/WC $768.75
Rate for Payer: UnitedHealthcare Community & State $123.51
Rate for Payer: Wellpoint Medicaid Managed Care $135.81
Service Code HCPCS C1874
Hospital Charge Code 270682646
Hospital Revenue Code 278
Min. Negotiated Rate $768.75
Max. Negotiated Rate $1,240.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1,240.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan $1,127.50
Rate for Payer: Qualcare PPO/HMO/WC $768.75