|
CORTISOL (24 HR UR)
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3003241
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL BINDING GLOBULIN
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 84449
|
| Hospital Charge Code |
39900475
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$58.32
|
| Rate for Payer: Aetna Medicare Advantage |
$18.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$65.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$65.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$19.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$65.95
|
| Rate for Payer: Cigna Commercial |
$18.00
|
| Rate for Payer: Cigna Medicare Advantage |
$9.00
|
| Rate for Payer: Clover Medicare Advantage |
$17.10
|
| Rate for Payer: EmblemHealth Commercial |
$54.00
|
| Rate for Payer: Humana Medicare Advantage |
$18.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.00
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.08
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.00
|
|
|
CORTISOL BINDING GLOBULIN
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 84449
|
| Hospital Charge Code |
39900475
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CORTISOL, FREE
|
Facility
|
IP
|
$682.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
38472024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$102.30 |
| Max. Negotiated Rate |
$102.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.30
|
|
|
CORTISOL, FREE
|
Facility
|
OP
|
$682.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
38472024
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$54.14
|
| Rate for Payer: Aetna Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.23
|
| Rate for Payer: Cigna Commercial |
$16.71
|
| Rate for Payer: Cigna Medicare Advantage |
$8.36
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$88.66
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
|
|
CORTISOL FREE LCM/MS SERUM
|
Facility
|
OP
|
$188.79
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
401382530
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$54.14
|
| Rate for Payer: Aetna Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.23
|
| Rate for Payer: Cigna Commercial |
$16.71
|
| Rate for Payer: Cigna Medicare Advantage |
$8.36
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.54
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
|
|
CORTISOL FREE LCM/MS SERUM
|
Facility
|
IP
|
$188.79
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
401382530
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$28.32 |
| Max. Negotiated Rate |
$28.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.32
|
|
|
CORTISOL, FREE, LC/MS/MS
|
Facility
|
IP
|
$519.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
397071495
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$77.85 |
| Max. Negotiated Rate |
$77.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$77.85
|
|
|
CORTISOL, FREE, LC/MS/MS
|
Facility
|
OP
|
$519.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
397071495
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$54.14
|
| Rate for Payer: Aetna Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.23
|
| Rate for Payer: Cigna Commercial |
$16.71
|
| Rate for Payer: Cigna Medicare Advantage |
$8.36
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$67.47
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$77.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
|
|
CORTISOL,FREE,LC/MS/MS
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
39900065
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CORTISOL,FREE,LC/MS/MS
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
39900065
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$54.14
|
| Rate for Payer: Aetna Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.23
|
| Rate for Payer: Cigna Commercial |
$16.71
|
| Rate for Payer: Cigna Medicare Advantage |
$8.36
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
|
|
CORTISOL, FREE SERUM
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
3035120
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL, FREE SERUM
|
Facility
|
OP
|
$139.25
|
|
|
Service Code
|
HCPCS 82530
|
| Hospital Charge Code |
3035120
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.36 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$54.14
|
| Rate for Payer: Aetna Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.23
|
| Rate for Payer: Cigna Commercial |
$16.71
|
| Rate for Payer: Cigna Medicare Advantage |
$8.36
|
| Rate for Payer: Clover Medicare Advantage |
$15.87
|
| Rate for Payer: EmblemHealth Commercial |
$50.13
|
| Rate for Payer: Humana Medicare Advantage |
$17.21
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.10
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.71
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.71
|
|
|
CORTISOL (PLASMA)***
|
Facility
|
OP
|
$83.00
|
|
| Hospital Charge Code |
3010907
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$10.79 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$24.90
|
| Rate for Payer: Aetna Medicare Advantage |
$24.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.16
|
| Rate for Payer: Cigna Commercial |
$41.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.79
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CORTISOL (PLASMA)***
|
Facility
|
IP
|
$83.00
|
|
| Hospital Charge Code |
3010907
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$12.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.45
|
|
|
CORTISOL PM, SERUM
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3030392
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL PM, SERUM
|
Facility
|
OP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3030392
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.15 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$52.81
|
| Rate for Payer: Aetna Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$59.72
|
| Rate for Payer: Cigna Commercial |
$16.30
|
| Rate for Payer: Cigna Medicare Advantage |
$8.15
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.10
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.28
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
|
|
CORTISOL SERUM
|
Facility
|
OP
|
$112.05
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
39900474
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.15 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$52.81
|
| Rate for Payer: Aetna Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$59.72
|
| Rate for Payer: Cigna Commercial |
$16.30
|
| Rate for Payer: Cigna Medicare Advantage |
$8.15
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.57
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.28
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
|
|
CORTISOL SERUM
|
Facility
|
IP
|
$112.05
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
39900474
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.81 |
| Max. Negotiated Rate |
$16.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.81
|
|
|
CORTISOL, SERUM
|
Facility
|
OP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3000908
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.15 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$52.81
|
| Rate for Payer: Aetna Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$59.72
|
| Rate for Payer: Cigna Commercial |
$16.30
|
| Rate for Payer: Cigna Medicare Advantage |
$8.15
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.10
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.28
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
|
|
CORTISOL, SERUM
|
Facility
|
IP
|
$139.25
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
3000908
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.89 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.89
|
|
|
CORTISOL TOTAL
|
Facility
|
OP
|
$746.00
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
38479110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.15 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$52.81
|
| Rate for Payer: Aetna Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$59.72
|
| Rate for Payer: Cigna Commercial |
$16.30
|
| Rate for Payer: Cigna Medicare Advantage |
$8.15
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$96.98
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$111.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.28
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
|
|
CORTISOL TOTAL
|
Facility
|
IP
|
$746.00
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
38479110
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$111.90 |
| Max. Negotiated Rate |
$111.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$111.90
|
|
|
CORTISOL,TOTAL
|
Facility
|
OP
|
$746.00
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
38472224
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.15 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$52.81
|
| Rate for Payer: Aetna Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$59.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$31.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$59.72
|
| Rate for Payer: Cigna Commercial |
$16.30
|
| Rate for Payer: Cigna Medicare Advantage |
$8.15
|
| Rate for Payer: Clover Medicare Advantage |
$15.48
|
| Rate for Payer: EmblemHealth Commercial |
$48.90
|
| Rate for Payer: Humana Medicare Advantage |
$16.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$96.98
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$111.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.30
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.28
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.30
|
|
|
CORTISOL,TOTAL
|
Facility
|
IP
|
$746.00
|
|
|
Service Code
|
HCPCS 82533
|
| Hospital Charge Code |
38472224
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$111.90 |
| Max. Negotiated Rate |
$111.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$111.90
|
|