|
IBD PANEL
|
Facility
|
OP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3035092A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$39.04
|
| Rate for Payer: Aetna Medicare Advantage |
$12.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$23.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44.15
|
| Rate for Payer: Cigna Commercial |
$12.05
|
| Rate for Payer: Cigna Medicare Advantage |
$6.03
|
| Rate for Payer: Clover Medicare Advantage |
$11.45
|
| Rate for Payer: EmblemHealth Commercial |
$36.15
|
| Rate for Payer: Humana Medicare Advantage |
$12.41
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$56.55
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.05
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$12.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.05
|
|
|
IBD PANEL
|
Facility
|
OP
|
$98.00
|
|
|
Service Code
|
HCPCS 8667191
|
| Hospital Charge Code |
3035092C
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.74 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$29.40
|
| Rate for Payer: Aetna Medicare Advantage |
$29.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24.99
|
| Rate for Payer: Cigna Commercial |
$49.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
IBD PANEL
|
Facility
|
IP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3035092A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$65.25 |
| Max. Negotiated Rate |
$65.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.25
|
|
|
IBD PANEL
|
Facility
|
OP
|
$3,528.00
|
|
|
Service Code
|
HCPCS 86021
|
| Hospital Charge Code |
3035092B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$7.53 |
| Max. Negotiated Rate |
$529.20 |
| Rate for Payer: Aetna Commercial |
$48.76
|
| Rate for Payer: Aetna Medicare Advantage |
$15.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$55.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$55.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$15.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$55.14
|
| Rate for Payer: Cigna Commercial |
$15.05
|
| Rate for Payer: Cigna Medicare Advantage |
$7.53
|
| Rate for Payer: Clover Medicare Advantage |
$14.30
|
| Rate for Payer: EmblemHealth Commercial |
$45.15
|
| Rate for Payer: Humana Medicare Advantage |
$15.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$458.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$529.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$15.05
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$15.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$15.05
|
|
|
IBD PANEL I
|
Facility
|
OP
|
$103.50
|
|
|
Service Code
|
HCPCS 8602191
|
| Hospital Charge Code |
39990079A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$31.05
|
| Rate for Payer: Aetna Medicare Advantage |
$31.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$26.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$26.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$26.39
|
| Rate for Payer: Cigna Commercial |
$51.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.46
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
IBD PANEL I
|
Facility
|
IP
|
$103.50
|
|
|
Service Code
|
HCPCS 8602191
|
| Hospital Charge Code |
39990079A
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.53 |
| Max. Negotiated Rate |
$15.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.53
|
|
|
IBD PANEL II
|
Facility
|
IP
|
$103.50
|
|
|
Service Code
|
HCPCS 8602191
|
| Hospital Charge Code |
39990079B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.53 |
| Max. Negotiated Rate |
$15.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.53
|
|
|
IBD PANEL II
|
Facility
|
OP
|
$103.50
|
|
|
Service Code
|
HCPCS 8602191
|
| Hospital Charge Code |
39990079B
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.53
|
| Rate for Payer: Aetna Commercial |
$31.05
|
| Rate for Payer: Aetna Medicare Advantage |
$31.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$26.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$26.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$26.39
|
| Rate for Payer: Cigna Commercial |
$51.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.46
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
IBD PANEL III
|
Facility
|
IP
|
$103.50
|
|
|
Service Code
|
HCPCS 8602191
|
| Hospital Charge Code |
39990079C
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.53 |
| Max. Negotiated Rate |
$15.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.53
|
|
|
IBD PANEL III
|
Facility
|
OP
|
$103.50
|
|
|
Service Code
|
HCPCS 8602191
|
| Hospital Charge Code |
39990079C
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$31.05
|
| Rate for Payer: Aetna Medicare Advantage |
$31.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$26.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$26.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$26.39
|
| Rate for Payer: Cigna Commercial |
$51.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.46
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
IBD PANEL IV
|
Facility
|
OP
|
$84.25
|
|
|
Service Code
|
HCPCS 8667191
|
| Hospital Charge Code |
39990079D
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.95 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$25.27
|
| Rate for Payer: Aetna Medicare Advantage |
$25.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.48
|
| Rate for Payer: Cigna Commercial |
$42.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.95
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
IBD PANEL IV
|
Facility
|
IP
|
$84.25
|
|
|
Service Code
|
HCPCS 8667191
|
| Hospital Charge Code |
39990079D
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.64 |
| Max. Negotiated Rate |
$12.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.64
|
|
|
IBD PANEL V
|
Facility
|
IP
|
$84.25
|
|
|
Service Code
|
HCPCS 8667191
|
| Hospital Charge Code |
39990079E
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$12.64 |
| Max. Negotiated Rate |
$12.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.64
|
|
|
IBD PANEL V
|
Facility
|
OP
|
$84.25
|
|
|
Service Code
|
HCPCS 8667191
|
| Hospital Charge Code |
39990079E
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$10.95 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$25.27
|
| Rate for Payer: Aetna Medicare Advantage |
$25.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.48
|
| Rate for Payer: Cigna Commercial |
$42.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.95
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
OP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.63 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Aetna Commercial |
$55.95
|
| Rate for Payer: Aetna Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$13.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.28
|
| Rate for Payer: Cigna Commercial |
$17.27
|
| Rate for Payer: Cigna Medicare Advantage |
$8.63
|
| Rate for Payer: Clover Medicare Advantage |
$16.41
|
| Rate for Payer: EmblemHealth Commercial |
$51.81
|
| Rate for Payer: Humana Medicare Advantage |
$17.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$18.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$17.27
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
IP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157B
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
OP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157E
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.63 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Aetna Commercial |
$55.95
|
| Rate for Payer: Aetna Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$13.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.28
|
| Rate for Payer: Cigna Commercial |
$17.27
|
| Rate for Payer: Cigna Medicare Advantage |
$8.63
|
| Rate for Payer: Clover Medicare Advantage |
$16.41
|
| Rate for Payer: EmblemHealth Commercial |
$51.81
|
| Rate for Payer: Humana Medicare Advantage |
$17.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$18.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$17.27
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
OP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157D
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.63 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Aetna Commercial |
$55.95
|
| Rate for Payer: Aetna Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$13.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.28
|
| Rate for Payer: Cigna Commercial |
$17.27
|
| Rate for Payer: Cigna Medicare Advantage |
$8.63
|
| Rate for Payer: Clover Medicare Advantage |
$16.41
|
| Rate for Payer: EmblemHealth Commercial |
$51.81
|
| Rate for Payer: Humana Medicare Advantage |
$17.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$18.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$17.27
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
IP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157C
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
IP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157E
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
IP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157D
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
IP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
OP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157C
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.63 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Aetna Commercial |
$55.95
|
| Rate for Payer: Aetna Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$13.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.28
|
| Rate for Payer: Cigna Commercial |
$17.27
|
| Rate for Payer: Cigna Medicare Advantage |
$8.63
|
| Rate for Payer: Clover Medicare Advantage |
$16.41
|
| Rate for Payer: EmblemHealth Commercial |
$51.81
|
| Rate for Payer: Humana Medicare Advantage |
$17.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$18.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$17.27
|
|
|
IBD SERO 7 QUANTIT IMMUNOASSAY
|
Facility
|
OP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3035157B
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.63 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Aetna Commercial |
$55.95
|
| Rate for Payer: Aetna Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$13.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.28
|
| Rate for Payer: Cigna Commercial |
$17.27
|
| Rate for Payer: Cigna Medicare Advantage |
$8.63
|
| Rate for Payer: Clover Medicare Advantage |
$16.41
|
| Rate for Payer: EmblemHealth Commercial |
$51.81
|
| Rate for Payer: Humana Medicare Advantage |
$17.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$18.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$17.27
|
|
|
IBD SEROLOGY 7
|
Facility
|
IP
|
$556.25
|
|
| Hospital Charge Code |
3035157
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$83.44 |
| Max. Negotiated Rate |
$83.44 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$83.44
|
|
