|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$52,513.90
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
7411530
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,265.58 |
| 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 |
$1,626.00
|
| 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 |
$15,754.17
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,877.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,265.58
|
| 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 |
$1,391.62
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
366837242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
5700316
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
741100108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,382.19 |
| 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 |
$1,626.00
|
| 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 |
$17,205.63
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,382.19
|
| 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 |
$1,519.83
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
4110935100
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,382.19 |
| 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 |
$17,205.63
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,600.00
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,382.19
|
| 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 |
$1,519.83
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
1600000864
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,382.19 |
| 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 |
$1,626.00
|
| 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 |
$17,205.63
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,382.19
|
| 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 |
$1,519.83
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
741100108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
1600000864
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
4110935100
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$52,513.90
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
7411530
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,877.09 |
| Max. Negotiated Rate |
$7,877.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,877.09
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
5700316
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,382.19 |
| 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 |
$1,626.00
|
| 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 |
$17,205.63
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,382.19
|
| 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 |
$1,519.83
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
366837243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,882.29 |
| Max. Negotiated Rate |
$7,882.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
321037243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,364.56 |
| 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 |
$1,626.00
|
| 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 |
$16,986.28
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,364.56
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
366837243
|
|
Hospital Revenue Code
|
361
|
| 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 |
$1,626.00
|
| 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: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| 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: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
321037243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,493.14 |
| Max. Negotiated Rate |
$8,493.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
411037243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,882.29 |
| Max. Negotiated Rate |
$7,882.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
411037243
|
|
Hospital Revenue Code
|
361
|
| 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 |
$1,626.00
|
| 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: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| 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: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$52,513.90
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
7411532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,877.09 |
| Max. Negotiated Rate |
$7,877.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,877.09
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$52,513.90
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
7411532
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,265.58 |
| 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 |
$1,626.00
|
| 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 |
$15,754.17
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,877.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,265.58
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
5700317
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,493.14 |
| Max. Negotiated Rate |
$8,493.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
5700317
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,364.56 |
| 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 |
$1,626.00
|
| 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 |
$16,986.28
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,364.56
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
IP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
411037241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,508.96 |
| Max. Negotiated Rate |
$8,508.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
OP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
411037241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,367.11 |
| 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 |
$1,626.00
|
| 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 |
$17,017.92
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,367.11
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
OP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
366837241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,367.11 |
| 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 |
$1,626.00
|
| 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 |
$17,017.92
|
| Rate for Payer: Oxford Commercial |
$9,689.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,605.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,367.11
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
IP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
366837241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,508.96 |
| Max. Negotiated Rate |
$8,508.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
|
