|
CH CEREBYX
|
Facility
|
OP
|
$670.00
|
|
|
Service Code
|
HCPCS 80299
|
| Hospital Charge Code |
397073665
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.32 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$60.39
|
| Rate for Payer: Aetna Medicare Advantage |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$68.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$68.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$68.30
|
| Rate for Payer: Cigna Commercial |
$18.64
|
| Rate for Payer: Cigna Medicare Advantage |
$9.32
|
| Rate for Payer: Clover Medicare Advantage |
$17.71
|
| Rate for Payer: EmblemHealth Commercial |
$55.92
|
| Rate for Payer: Humana Medicare Advantage |
$19.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.10
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.64
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.64
|
|
|
CH CERULOPLASMIN
|
Facility
|
IP
|
$92.00
|
|
|
Service Code
|
HCPCS 82390
|
| Hospital Charge Code |
397071050
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.80 |
| Max. Negotiated Rate |
$13.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
|
|
CH CERULOPLASMIN
|
Facility
|
OP
|
$92.00
|
|
|
Service Code
|
HCPCS 82390
|
| Hospital Charge Code |
397071050
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.37 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$34.80
|
| Rate for Payer: Aetna Medicare Advantage |
$10.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$39.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$39.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$10.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$39.35
|
| Rate for Payer: Cigna Commercial |
$10.74
|
| Rate for Payer: Cigna Medicare Advantage |
$5.37
|
| Rate for Payer: Clover Medicare Advantage |
$10.20
|
| Rate for Payer: EmblemHealth Commercial |
$32.22
|
| Rate for Payer: Humana Medicare Advantage |
$11.06
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.96
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$10.74
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$11.38
|
| Rate for Payer: Wellcare Medicare Advantage |
$10.74
|
|
|
CH CHICKEN FEATH IGE SERUM
|
Facility
|
IP
|
$153.00
|
|
|
Service Code
|
HCPCS 86003
|
| Hospital Charge Code |
397072159
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$22.95 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.95
|
|
|
CH CHICKEN FEATH IGE SERUM
|
Facility
|
OP
|
$153.00
|
|
|
Service Code
|
HCPCS 86003
|
| Hospital Charge Code |
397072159
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$2.61 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.91
|
| Rate for Payer: Aetna Medicare Advantage |
$5.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$37.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.13
|
| Rate for Payer: Cigna Commercial |
$5.22
|
| Rate for Payer: Cigna Medicare Advantage |
$2.61
|
| Rate for Payer: Clover Medicare Advantage |
$4.96
|
| Rate for Payer: EmblemHealth Commercial |
$15.66
|
| Rate for Payer: Humana Medicare Advantage |
$5.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.89
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.22
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.22
|
|
|
CH CHICKEN MEAT IGE SERUM
|
Facility
|
OP
|
$153.00
|
|
|
Service Code
|
HCPCS 86003
|
| Hospital Charge Code |
397072160
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$2.61 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.91
|
| Rate for Payer: Aetna Medicare Advantage |
$5.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$37.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.13
|
| Rate for Payer: Cigna Commercial |
$5.22
|
| Rate for Payer: Cigna Medicare Advantage |
$2.61
|
| Rate for Payer: Clover Medicare Advantage |
$4.96
|
| Rate for Payer: EmblemHealth Commercial |
$15.66
|
| Rate for Payer: Humana Medicare Advantage |
$5.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.89
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.22
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.22
|
|
|
CH CHICKEN MEAT IGE SERUM
|
Facility
|
IP
|
$153.00
|
|
|
Service Code
|
HCPCS 86003
|
| Hospital Charge Code |
397072160
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$22.95 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.95
|
|
|
CH CHLAM/N GONO PROBE W/REFL
|
Facility
|
IP
|
$239.00
|
|
|
Service Code
|
HCPCS 87800
|
| Hospital Charge Code |
397071519
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$35.85 |
| Max. Negotiated Rate |
$35.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$35.85
|
|
|
CH CHLAM/N GONO PROBE W/REFL
|
Facility
|
OP
|
$239.00
|
|
|
Service Code
|
HCPCS 87800
|
| Hospital Charge Code |
397071519
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$21.84 |
| Max. Negotiated Rate |
$160.01 |
| Rate for Payer: Aetna Commercial |
$141.49
|
| Rate for Payer: Aetna Medicare Advantage |
$43.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$160.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$160.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$43.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$42.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$160.01
|
| Rate for Payer: Cigna Commercial |
$43.67
|
| Rate for Payer: Cigna Medicare Advantage |
$21.84
|
| Rate for Payer: Clover Medicare Advantage |
$41.49
|
| Rate for Payer: EmblemHealth Commercial |
$131.01
|
| Rate for Payer: Humana Medicare Advantage |
$44.98
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.07
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$35.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$43.67
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$46.29
|
| Rate for Payer: Wellcare Medicare Advantage |
$43.67
|
|
|
CH CHLAMYDIA/CHLAMYDO P1 IGG
|
Facility
|
IP
|
$166.00
|
|
|
Service Code
|
HCPCS 86631
|
| Hospital Charge Code |
397071503
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$24.90 |
| Max. Negotiated Rate |
$24.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.90
|
|
|
CH CHLAMYDIA/CHLAMYDO P1 IGG
|
Facility
|
OP
|
$166.00
|
|
|
Service Code
|
HCPCS 86631
|
| Hospital Charge Code |
397071503
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$5.91 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.30
|
| Rate for Payer: Aetna Medicare Advantage |
$11.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43.31
|
| Rate for Payer: Cigna Commercial |
$11.82
|
| Rate for Payer: Cigna Medicare Advantage |
$5.91
|
| Rate for Payer: Clover Medicare Advantage |
$11.23
|
| Rate for Payer: EmblemHealth Commercial |
$35.46
|
| Rate for Payer: Humana Medicare Advantage |
$12.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.58
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11.82
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$12.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$11.82
|
|
|
CH CHLAMYDIA TRACHOMATIS
|
Facility
|
OP
|
$223.00
|
|
|
Service Code
|
HCPCS 87491
|
| Hospital Charge Code |
397073668
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$17.55 |
| Max. Negotiated Rate |
$128.57 |
| Rate for Payer: Aetna Commercial |
$113.69
|
| Rate for Payer: Aetna Medicare Advantage |
$35.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$128.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$128.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$35.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$37.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$128.57
|
| Rate for Payer: Cigna Commercial |
$35.09
|
| Rate for Payer: Cigna Medicare Advantage |
$17.55
|
| Rate for Payer: Clover Medicare Advantage |
$33.34
|
| Rate for Payer: EmblemHealth Commercial |
$105.27
|
| Rate for Payer: Humana Medicare Advantage |
$36.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.99
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$35.09
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$37.20
|
| Rate for Payer: Wellcare Medicare Advantage |
$35.09
|
|
|
CH CHLAMYDIA TRACHOMATIS
|
Facility
|
IP
|
$223.00
|
|
|
Service Code
|
HCPCS 87491
|
| Hospital Charge Code |
397073668
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$33.45 |
| Max. Negotiated Rate |
$33.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.45
|
|
|
CH CHLAMYDIA TRACHOMATIS AG
|
Facility
|
IP
|
$196.00
|
|
|
Service Code
|
HCPCS 87270
|
| Hospital Charge Code |
397041319
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$29.40 |
| Max. Negotiated Rate |
$29.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.40
|
|
|
CH CHLAMYDIA TRACHOMATIS AG
|
Facility
|
OP
|
$196.00
|
|
|
Service Code
|
HCPCS 87270
|
| Hospital Charge Code |
397041319
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$5.99 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.82
|
| Rate for Payer: Aetna Medicare Advantage |
$11.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$29.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43.89
|
| Rate for Payer: Cigna Commercial |
$11.98
|
| Rate for Payer: Cigna Medicare Advantage |
$5.99
|
| Rate for Payer: Clover Medicare Advantage |
$11.38
|
| Rate for Payer: EmblemHealth Commercial |
$35.94
|
| Rate for Payer: Humana Medicare Advantage |
$12.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.48
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11.98
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$12.70
|
| Rate for Payer: Wellcare Medicare Advantage |
$11.98
|
|
|
CH CHLORAL HYDRATE
|
Facility
|
OP
|
$86.00
|
|
|
Service Code
|
HCPCS 80299
|
| Hospital Charge Code |
397072044
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.32 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$60.39
|
| Rate for Payer: Aetna Medicare Advantage |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$68.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$68.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$68.30
|
| Rate for Payer: Cigna Commercial |
$18.64
|
| Rate for Payer: Cigna Medicare Advantage |
$9.32
|
| Rate for Payer: Clover Medicare Advantage |
$17.71
|
| Rate for Payer: EmblemHealth Commercial |
$55.92
|
| Rate for Payer: Humana Medicare Advantage |
$19.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.18
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.64
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.64
|
|
|
CH CHLORAL HYDRATE
|
Facility
|
IP
|
$86.00
|
|
|
Service Code
|
HCPCS 80299
|
| Hospital Charge Code |
397072044
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.90 |
| Max. Negotiated Rate |
$12.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.90
|
|
|
CH CHLORDIAZEPOXIDE, QT
|
Facility
|
OP
|
$225.00
|
|
|
Service Code
|
HCPCS 80299
|
| Hospital Charge Code |
397073063
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.32 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$60.39
|
| Rate for Payer: Aetna Medicare Advantage |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$68.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$68.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$11.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$68.30
|
| Rate for Payer: Cigna Commercial |
$18.64
|
| Rate for Payer: Cigna Medicare Advantage |
$9.32
|
| Rate for Payer: Clover Medicare Advantage |
$17.71
|
| Rate for Payer: EmblemHealth Commercial |
$55.92
|
| Rate for Payer: Humana Medicare Advantage |
$19.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$29.25
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.64
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.64
|
|
|
CH CHLORDIAZEPOXIDE, QT
|
Facility
|
IP
|
$225.00
|
|
|
Service Code
|
HCPCS 80299
|
| Hospital Charge Code |
397073063
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$33.75 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
|
|
CH CHLORIDE
|
Facility
|
IP
|
$28.00
|
|
|
Service Code
|
HCPCS 82435
|
| Hospital Charge Code |
397071144
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.20 |
| Max. Negotiated Rate |
$4.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.20
|
|
|
CH CHLORIDE
|
Facility
|
OP
|
$28.00
|
|
|
Service Code
|
HCPCS 82435
|
| Hospital Charge Code |
397071144
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.30 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$14.90
|
| Rate for Payer: Aetna Medicare Advantage |
$4.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.85
|
| Rate for Payer: Cigna Commercial |
$4.60
|
| Rate for Payer: Cigna Medicare Advantage |
$2.30
|
| Rate for Payer: Clover Medicare Advantage |
$4.37
|
| Rate for Payer: EmblemHealth Commercial |
$13.80
|
| Rate for Payer: Humana Medicare Advantage |
$4.74
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4.60
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$4.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$4.60
|
|
|
CH CHLORIDE RANDOM URINE
|
Facility
|
IP
|
$71.25
|
|
|
Service Code
|
HCPCS 82436
|
| Hospital Charge Code |
397073112
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$10.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
CH CHLORIDE RANDOM URINE
|
Facility
|
OP
|
$71.25
|
|
|
Service Code
|
HCPCS 82436
|
| Hospital Charge Code |
397073112
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.88 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$18.63
|
| Rate for Payer: Aetna Medicare Advantage |
$5.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.07
|
| Rate for Payer: Cigna Commercial |
$5.75
|
| Rate for Payer: Cigna Medicare Advantage |
$2.88
|
| Rate for Payer: Clover Medicare Advantage |
$5.46
|
| Rate for Payer: EmblemHealth Commercial |
$17.25
|
| Rate for Payer: Humana Medicare Advantage |
$5.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.26
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.75
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$6.09
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.75
|
|
|
CH CHLORIDES SPINAL FLUID
|
Facility
|
IP
|
$43.00
|
|
|
Service Code
|
HCPCS 82438
|
| Hospital Charge Code |
397071324
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.45 |
| Max. Negotiated Rate |
$6.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.45
|
|
|
CH CHLORIDES SPINAL FLUID
|
Facility
|
OP
|
$43.00
|
|
|
Service Code
|
HCPCS 82438
|
| Hospital Charge Code |
397071324
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.50 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.20
|
| Rate for Payer: Aetna Medicare Advantage |
$5.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.32
|
| Rate for Payer: Cigna Commercial |
$5.00
|
| Rate for Payer: Cigna Medicare Advantage |
$2.50
|
| Rate for Payer: Clover Medicare Advantage |
$4.75
|
| Rate for Payer: EmblemHealth Commercial |
$15.00
|
| Rate for Payer: Humana Medicare Advantage |
$5.15
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.59
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.00
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.30
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.00
|
|