Heights University Hospital

All Charges

Charge

Type

Setting

Price

ANTIDIURETIC HORMONE I

Facility

$57.00

Service Code	HCPCS 83930
Hospital Charge Code	3007150A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$21.42
Rate for Payer: Aetna Medicare Advantage	$6.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.22
Rate for Payer: Cigna Commercial	$6.61
Rate for Payer: Cigna Medicare Advantage	$3.31
Rate for Payer: Clover Medicare Advantage	$6.28
Rate for Payer: EmblemHealth Commercial	$19.83
Rate for Payer: Humana Medicare Advantage	$6.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.61
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$7.01
Rate for Payer: Wellcare Medicare Advantage	$6.61

ANTIDIURETIC HORMONE II

Facility

$257.00

Service Code	HCPCS 84588
Hospital Charge Code	3007150B
Hospital Revenue Code	301
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$38.55
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

ANTIDIURETIC HORMONE II

Facility

$257.00

Service Code	HCPCS 84588
Hospital Charge Code	3007150B
Hospital Revenue Code	301
Min. Negotiated Rate	$16.97
Max. Negotiated Rate	$124.36
Rate for Payer: Aetna Commercial	$109.97
Rate for Payer: Aetna Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.36
Rate for Payer: Cigna Commercial	$33.94
Rate for Payer: Cigna Medicare Advantage	$16.97
Rate for Payer: Clover Medicare Advantage	$32.24
Rate for Payer: EmblemHealth Commercial	$101.82
Rate for Payer: Humana Medicare Advantage	$34.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.41
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.55
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.94
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$35.98
Rate for Payer: Wellcare Medicare Advantage	$33.94

ANTIDIURETIC HORMONE PANEL

Facility

$474.50

Hospital Charge Code	3007150
Hospital Revenue Code	301
Min. Negotiated Rate	$71.17
Max. Negotiated Rate	$71.17
Rate for Payer: Qualcare PPO/HMO/WC	$71.17

ANTIDIURETIC HORMONE PANEL

Facility

$474.50

Hospital Charge Code	3007150
Hospital Revenue Code	301
Min. Negotiated Rate	$61.69
Max. Negotiated Rate	$237.25
Rate for Payer: Aetna Commercial	$142.35
Rate for Payer: Aetna Medicare Advantage	$142.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.00
Rate for Payer: Cigna Commercial	$237.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.69
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.17
Rate for Payer: UnitedHealthcare Commercial	$114.00

ANTI DNA, DOUBLE STRANDED

Facility

$175.25

Service Code	HCPCS 86225
Hospital Charge Code	3008323
Hospital Revenue Code	302
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.52
Rate for Payer: Aetna Medicare Advantage	$13.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.34
Rate for Payer: Cigna Commercial	$13.74
Rate for Payer: Cigna Medicare Advantage	$6.87
Rate for Payer: Clover Medicare Advantage	$13.05
Rate for Payer: EmblemHealth Commercial	$41.22
Rate for Payer: Humana Medicare Advantage	$14.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.56
Rate for Payer: Wellcare Medicare Advantage	$13.74

ANTI DNA, DOUBLE STRANDED

Facility

$175.25

Service Code	HCPCS 86225
Hospital Charge Code	3008323
Hospital Revenue Code	302
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

ANTI-DNA(DOUBLE STRANDED)ANTIB

Facility

$579.00

Service Code	HCPCS 86225
Hospital Charge Code	38476042
Hospital Revenue Code	302
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$44.52
Rate for Payer: Aetna Medicare Advantage	$13.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.34
Rate for Payer: Cigna Commercial	$13.74
Rate for Payer: Cigna Medicare Advantage	$6.87
Rate for Payer: Clover Medicare Advantage	$13.05
Rate for Payer: EmblemHealth Commercial	$41.22
Rate for Payer: Humana Medicare Advantage	$14.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$86.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.56
Rate for Payer: Wellcare Medicare Advantage	$13.74

ANTI-DNA(DOUBLE STRANDED)ANTIB

Facility

$579.00

Service Code	HCPCS 86225
Hospital Charge Code	38476042
Hospital Revenue Code	302
Min. Negotiated Rate	$86.85
Max. Negotiated Rate	$86.85
Rate for Payer: Qualcare PPO/HMO/WC	$86.85

ANTI DNA-DS

Facility

$390.00

Service Code	HCPCS 86225
Hospital Charge Code	39900362
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ANTI DNA-DS

Facility

$390.00

Service Code	HCPCS 86225
Hospital Charge Code	39900362
Hospital Revenue Code	302
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$114.00
Rate for Payer: Cigna Commercial	$13.74
Rate for Payer: Cigna Medicare Advantage	$6.87
Rate for Payer: Aetna Commercial	$44.52
Rate for Payer: Aetna Medicare Advantage	$13.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.34
Rate for Payer: Clover Medicare Advantage	$13.05
Rate for Payer: EmblemHealth Commercial	$41.22
Rate for Payer: Humana Medicare Advantage	$14.15
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	$13.74
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.56
Rate for Payer: Wellcare Medicare Advantage	$13.74

ANTI DNASE B(STREPTOCOCCAL)ANT

Facility

$273.00

Service Code	HCPCS 86215
Hospital Charge Code	38476048
Hospital Revenue Code	302
Min. Negotiated Rate	$40.95
Max. Negotiated Rate	$40.95
Rate for Payer: Qualcare PPO/HMO/WC	$40.95

ANTI DNASE B(STREPTOCOCCAL)ANT

Facility

$273.00

Service Code	HCPCS 86215
Hospital Charge Code	38476048
Hospital Revenue Code	302
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.93
Rate for Payer: Aetna Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.55
Rate for Payer: Cigna Commercial	$13.25
Rate for Payer: Cigna Medicare Advantage	$6.62
Rate for Payer: Clover Medicare Advantage	$12.59
Rate for Payer: EmblemHealth Commercial	$39.75
Rate for Payer: Humana Medicare Advantage	$13.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.95
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.25
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.04
Rate for Payer: Wellcare Medicare Advantage	$13.25

ANTI DNASE STREPTOCOCCAL

Facility

$136.85

Service Code	HCPCS 86215
Hospital Charge Code	3003647
Hospital Revenue Code	302
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

ANTI DNASE STREPTOCOCCAL

Facility

$136.85

Service Code	HCPCS 86215
Hospital Charge Code	3003647
Hospital Revenue Code	302
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$42.93
Rate for Payer: Aetna Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.55
Rate for Payer: Cigna Commercial	$13.25
Rate for Payer: Cigna Medicare Advantage	$6.62
Rate for Payer: Clover Medicare Advantage	$12.59
Rate for Payer: EmblemHealth Commercial	$39.75
Rate for Payer: Humana Medicare Advantage	$13.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.79
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.53
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.25
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$14.04
Rate for Payer: Wellcare Medicare Advantage	$13.25

ANTI DNA, SINGLE STRANDED

Facility

$205.65

Service Code	HCPCS 86226
Hospital Charge Code	3008331
Hospital Revenue Code	302
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.24
Rate for Payer: Aetna Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$12.11
Rate for Payer: Cigna Medicare Advantage	$6.05
Rate for Payer: Clover Medicare Advantage	$11.50
Rate for Payer: EmblemHealth Commercial	$36.33
Rate for Payer: Humana Medicare Advantage	$12.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.84
Rate for Payer: Wellcare Medicare Advantage	$12.11

ANTI DNA, SINGLE STRANDED

Facility

$205.65

Service Code	HCPCS 86226
Hospital Charge Code	3008331
Hospital Revenue Code	302
Min. Negotiated Rate	$30.85
Max. Negotiated Rate	$30.85
Rate for Payer: Qualcare PPO/HMO/WC	$30.85

ANTI-DNA(SINGLE STRANDED)ANTIB

Facility

$542.00

Service Code	HCPCS 86226
Hospital Charge Code	38476045
Hospital Revenue Code	302
Min. Negotiated Rate	$81.30
Max. Negotiated Rate	$81.30
Rate for Payer: Qualcare PPO/HMO/WC	$81.30

ANTI-DNA(SINGLE STRANDED)ANTIB

Facility

$542.00

Service Code	HCPCS 86226
Hospital Charge Code	38476045
Hospital Revenue Code	302
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$39.24
Rate for Payer: Aetna Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$12.11
Rate for Payer: Cigna Medicare Advantage	$6.05
Rate for Payer: Clover Medicare Advantage	$11.50
Rate for Payer: EmblemHealth Commercial	$36.33
Rate for Payer: Humana Medicare Advantage	$12.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.46
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.30
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.11
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$12.84
Rate for Payer: Wellcare Medicare Advantage	$12.11

ANTI-ENA(SM&SM.RNP) AB

Facility

$179.00

Service Code	HCPCS 86235
Hospital Charge Code	38479092
Hospital Revenue Code	302
Min. Negotiated Rate	$26.85
Max. Negotiated Rate	$26.85
Rate for Payer: Qualcare PPO/HMO/WC	$26.85

ANTI-ENA(SM&SM.RNP) AB

Facility

$179.00

Service Code	HCPCS 86235
Hospital Charge Code	38479092
Hospital Revenue Code	302
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$58.09
Rate for Payer: Aetna Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.70
Rate for Payer: Cigna Commercial	$17.93
Rate for Payer: Cigna Medicare Advantage	$8.96
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.27
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.85
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$19.01
Rate for Payer: Wellcare Medicare Advantage	$17.93

ANTI-EPIDERMAL AB SCREEN

Facility

$121.00

Service Code	HCPCS 86255
Hospital Charge Code	3009800
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	$14.59
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	$15.73
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
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

ANTI-EPIDERMAL AB SCREEN

Facility

$121.00

Service Code	HCPCS 86255
Hospital Charge Code	3009800
Hospital Revenue Code	302
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

ANTIEPILEPTICS NOS 1-3

Facility

$190.45

Service Code	HCPCS 80339
Hospital Charge Code	39990219
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

ANTIEPILEPTICS NOS 1-3

Facility

$190.45

Service Code	HCPCS 80339
Hospital Charge Code	3039019
Hospital Revenue Code	301
Min. Negotiated Rate	$24.76
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$57.13
Rate for Payer: Aetna Medicare Advantage	$57.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.56
Rate for Payer: Cigna Commercial	$95.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.57
Rate for Payer: UnitedHealthcare Commercial	$114.00

Know your out-of-pocket cost for care.

All Charges