|
CREATE AV FSTLA,NT AGENS GRFT
|
Facility
|
IP
|
$38,857.60
|
|
|
Service Code
|
HCPCS 36830
|
| Hospital Charge Code |
1600000423
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,828.64 |
| Max. Negotiated Rate |
$5,828.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5,828.64
|
|
|
CREATINE,24HR URINE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900066
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.32 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$15.03
|
| Rate for Payer: Aetna Medicare Advantage |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4.64
|
| 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 |
$17.00
|
| Rate for Payer: Cigna Commercial |
$4.64
|
| Rate for Payer: Cigna Medicare Advantage |
$2.32
|
| Rate for Payer: Clover Medicare Advantage |
$4.41
|
| Rate for Payer: EmblemHealth Commercial |
$13.92
|
| Rate for Payer: Humana Medicare Advantage |
$4.78
|
| 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 |
$4.64
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$4.92
|
| Rate for Payer: Wellcare Medicare Advantage |
$4.64
|
|
|
CREATINE,24HR URINE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900066
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CREATINE KINASE (CK)
|
Facility
|
OP
|
$667.31
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
3000916
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.25 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$21.09
|
| Rate for Payer: Aetna Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.85
|
| Rate for Payer: Cigna Commercial |
$6.51
|
| Rate for Payer: Cigna Medicare Advantage |
$3.25
|
| Rate for Payer: Clover Medicare Advantage |
$6.18
|
| Rate for Payer: EmblemHealth Commercial |
$19.53
|
| Rate for Payer: Humana Medicare Advantage |
$6.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$86.75
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.51
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$6.90
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.51
|
|
|
CREATINE KINASE (CK)
|
Facility
|
IP
|
$667.31
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
3000916
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$100.10 |
| Max. Negotiated Rate |
$100.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.10
|
|
|
CREATINE KINASE (CK/CPK)
|
Facility
|
IP
|
$291.20
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
38472242
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.68 |
| Max. Negotiated Rate |
$43.68 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.68
|
|
|
CREATINE KINASE (CK/CPK)
|
Facility
|
OP
|
$291.20
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
38472242
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.25 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$21.09
|
| Rate for Payer: Aetna Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.85
|
| Rate for Payer: Cigna Commercial |
$6.51
|
| Rate for Payer: Cigna Medicare Advantage |
$3.25
|
| Rate for Payer: Clover Medicare Advantage |
$6.18
|
| Rate for Payer: EmblemHealth Commercial |
$19.53
|
| Rate for Payer: Humana Medicare Advantage |
$6.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$37.86
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.51
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$6.90
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.51
|
|
|
CREATINE KINASE (CK) ISOFORMS
|
Facility
|
OP
|
$667.59
|
|
|
Service Code
|
HCPCS 82554
|
| Hospital Charge Code |
3032490
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.93 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Humana Medicare Advantage |
$12.23
|
| Rate for Payer: Aetna Commercial |
$38.46
|
| Rate for Payer: Aetna Medicare Advantage |
$11.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$32.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43.49
|
| Rate for Payer: Cigna Commercial |
$11.87
|
| Rate for Payer: Cigna Medicare Advantage |
$5.93
|
| Rate for Payer: Clover Medicare Advantage |
$11.28
|
| Rate for Payer: EmblemHealth Commercial |
$35.61
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$86.79
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11.87
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$12.58
|
| Rate for Payer: Wellcare Medicare Advantage |
$11.87
|
|
|
CREATINE KINASE (CK) ISOFORMS
|
Facility
|
IP
|
$667.59
|
|
|
Service Code
|
HCPCS 82554
|
| Hospital Charge Code |
3032490
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$100.14 |
| Max. Negotiated Rate |
$100.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
|
|
CREATINE KINASE (CK) REPEAT
|
Facility
|
IP
|
$385.26
|
|
|
Service Code
|
HCPCS 8255091
|
| Hospital Charge Code |
3000916R
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$57.79 |
| Max. Negotiated Rate |
$57.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.79
|
|
|
CREATINE KINASE (CK) REPEAT
|
Facility
|
OP
|
$385.26
|
|
|
Service Code
|
HCPCS 8255091
|
| Hospital Charge Code |
3000916R
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.08 |
| Max. Negotiated Rate |
$192.63 |
| Rate for Payer: Aetna Commercial |
$115.58
|
| Rate for Payer: Aetna Medicare Advantage |
$115.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$98.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$98.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$98.24
|
| Rate for Payer: Cigna Commercial |
$192.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.08
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CREATINE KINASE CPK PANEL***
|
Facility
|
OP
|
$7.20
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
3000916P
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.94 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$21.09
|
| Rate for Payer: Aetna Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$8.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.85
|
| Rate for Payer: Cigna Commercial |
$6.51
|
| Rate for Payer: Cigna Medicare Advantage |
$3.25
|
| Rate for Payer: Clover Medicare Advantage |
$6.18
|
| Rate for Payer: EmblemHealth Commercial |
$19.53
|
| Rate for Payer: Humana Medicare Advantage |
$6.71
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.94
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.51
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$6.90
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.51
|
|
|
CREATINE KINASE CPK PANEL***
|
Facility
|
IP
|
$7.20
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
3000916P
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$1.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.08
|
|
|
CREATINE KINASE-MB (CK-MB)
|
Facility
|
IP
|
$240.00
|
|
|
Service Code
|
HCPCS 82553
|
| Hospital Charge Code |
38472245
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
CREATINE KINASE-MB (CK-MB)
|
Facility
|
OP
|
$240.00
|
|
|
Service Code
|
HCPCS 82553
|
| Hospital Charge Code |
38472245
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.78 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$37.42
|
| Rate for Payer: Aetna Medicare Advantage |
$11.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.32
|
| Rate for Payer: Cigna Commercial |
$11.55
|
| Rate for Payer: Cigna Medicare Advantage |
$5.78
|
| Rate for Payer: Clover Medicare Advantage |
$10.97
|
| Rate for Payer: EmblemHealth Commercial |
$34.65
|
| Rate for Payer: Humana Medicare Advantage |
$11.90
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11.55
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$12.24
|
| Rate for Payer: Wellcare Medicare Advantage |
$11.55
|
|
|
CREATINE,SERUM
|
Facility
|
IP
|
$31.85
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900067
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.78 |
| Max. Negotiated Rate |
$4.78 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.78
|
|
|
CREATINE,SERUM
|
Facility
|
OP
|
$31.85
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900067
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.32 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$15.03
|
| Rate for Payer: Aetna Medicare Advantage |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4.64
|
| 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 |
$17.00
|
| Rate for Payer: Cigna Commercial |
$4.64
|
| Rate for Payer: Cigna Medicare Advantage |
$2.32
|
| Rate for Payer: Clover Medicare Advantage |
$4.41
|
| Rate for Payer: EmblemHealth Commercial |
$13.92
|
| Rate for Payer: Humana Medicare Advantage |
$4.78
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.14
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.78
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4.64
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$4.92
|
| Rate for Payer: Wellcare Medicare Advantage |
$4.64
|
|
|
CREATINE,UR RANDOM
|
Facility
|
IP
|
$107.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
38479033
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.05 |
| Max. Negotiated Rate |
$16.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.05
|
|
|
CREATINE,UR RANDOM
|
Facility
|
OP
|
$107.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
38479033
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| 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 |
$18.98
|
| Rate for Payer: Cigna Commercial |
$5.18
|
| Rate for Payer: Cigna Medicare Advantage |
$2.59
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.91
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.49
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
|
|
CREATININE
|
Facility
|
IP
|
$47.25
|
|
|
Service Code
|
HCPCS 82565
|
| Hospital Charge Code |
8200308RS
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.09 |
| Max. Negotiated Rate |
$7.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.09
|
|
|
CREATININE
|
Facility
|
OP
|
$47.25
|
|
|
Service Code
|
HCPCS 82565
|
| Hospital Charge Code |
8200308RS
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.59
|
| Rate for Payer: Aetna Medicare Advantage |
$5.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.12
|
| 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 |
$18.76
|
| Rate for Payer: Cigna Commercial |
$5.12
|
| Rate for Payer: Cigna Medicare Advantage |
$2.56
|
| Rate for Payer: Clover Medicare Advantage |
$4.86
|
| Rate for Payer: EmblemHealth Commercial |
$15.36
|
| Rate for Payer: Humana Medicare Advantage |
$5.27
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.14
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.12
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.43
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.12
|
|
|
CREATININE (AMNIOTIC FLUID)
|
Facility
|
IP
|
$152.65
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
3030376
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.90 |
| Max. Negotiated Rate |
$22.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.90
|
|
|
CREATININE (AMNIOTIC FLUID)
|
Facility
|
OP
|
$152.65
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
3030376
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Cigna Commercial |
$5.18
|
| Rate for Payer: Aetna Commercial |
$16.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| 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 |
$18.98
|
| Rate for Payer: Cigna Medicare Advantage |
$2.59
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.84
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.49
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
|
|
CREATININE (CADMIUM U)
|
Facility
|
OP
|
$107.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
3031070A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.59 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| 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 |
$18.98
|
| Rate for Payer: Cigna Commercial |
$5.18
|
| Rate for Payer: Cigna Medicare Advantage |
$2.59
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.91
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.49
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
|
|
CREATININE (CADMIUM U)
|
Facility
|
IP
|
$107.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
3031070A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.05 |
| Max. Negotiated Rate |
$16.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.05
|
|