|
CATH ARMADA 35 PTA 4.0x40x135
|
Facility
|
OP
|
$775.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647085C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$18.68 |
| Max. Negotiated Rate |
$387.50 |
| Rate for Payer: Aetna Commercial |
$294.50
|
| Rate for Payer: Aetna Medicare Advantage |
$232.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$197.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$197.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$155.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$197.62
|
| Rate for Payer: Cigna Commercial |
$387.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$187.55
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$170.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$116.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$18.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$20.54
|
|
|
CATH ARMADA 35 PTA 4.0x40x135
|
Facility
|
IP
|
$775.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647085C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$116.25 |
| Max. Negotiated Rate |
$187.55 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$155.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$187.55
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$170.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$116.25
|
|
|
CATH ARMADA 35 PTA 4.0x60x135
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270662394
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35 PTA 4.0x60x135
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270662394
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35 PTA 4.0x80x135
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647086
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35 PTA 4.0x80x135
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647086
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35 PTA 4x120x135
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647088
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35 PTA 4x120x135
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647088
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35PTA 4X20MM 80CM
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647312
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35PTA 4X20MM 80CM
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647312
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35 PTA 4X20MMX80CM
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647321C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35 PTA 4X20MMX80CM
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647321S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35 PTA 4X20MMX80CM
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647321S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35 PTA 4X20MMX80CM
|
Facility
|
IP
|
$1,750.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647321O
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$423.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$385.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
CATH ARMADA 35 PTA 4X20MMX80CM
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647321C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35 PTA 4X20MMX80CM
|
Facility
|
OP
|
$1,750.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647321O
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$42.17 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$665.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$385.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$42.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.38
|
|
|
CATH ARMADA 35 PTA 5.0x100x135
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647093
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35 PTA 5.0x100x135
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647093
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35 PTA 5.0x120x135
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647094
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.06 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.56
|
|
|
CATH ARMADA 35 PTA 5.0x120x135
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270647094
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH ARMADA 35 PTA 5.0x150x135
|
Facility
|
OP
|
$850.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270646620C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.48 |
| Max. Negotiated Rate |
$425.00 |
| Rate for Payer: Aetna Commercial |
$323.00
|
| Rate for Payer: Aetna Medicare Advantage |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$170.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216.75
|
| Rate for Payer: Cigna Commercial |
$425.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$205.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$187.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.52
|
|
|
CATH ARMADA 35 PTA 5.0x150x135
|
Facility
|
IP
|
$850.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270646620C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$205.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$170.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$205.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$187.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
|
|
CATH ARMADA 35 PTA 5.0x200x135
|
Facility
|
OP
|
$850.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270646636C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$20.48 |
| Max. Negotiated Rate |
$425.00 |
| Rate for Payer: Aetna Commercial |
$323.00
|
| Rate for Payer: Aetna Medicare Advantage |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$170.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216.75
|
| Rate for Payer: Cigna Commercial |
$425.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$205.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$187.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.52
|
|
|
CATH ARMADA 35 PTA 5.0x200x135
|
Facility
|
IP
|
$850.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270646636C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$205.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$170.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$205.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$187.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
|
|
CATH ARMADA 35 PTA 5.0x250x135
|
Facility
|
IP
|
$850.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270646621C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$205.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$170.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$205.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$187.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
|
