|
NUR INSERTION CATH,ARTERY UMB
|
Facility
|
OP
|
$420.00
|
|
|
Service Code
|
HCPCS 36660
|
| Hospital Charge Code |
93082060
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$6,873.00 |
| Rate for Payer: Aetna Commercial |
$126.00
|
| Rate for Payer: Aetna Medicare Advantage |
$126.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$107.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$107.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$107.10
|
| Rate for Payer: Cigna Commercial |
$61.99
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$54.60
|
| Rate for Payer: Oxford Commercial |
$6,055.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$6,873.00
|
|
|
NUR INSERTION CATH,ARTERY UMB
|
Facility
|
IP
|
$420.00
|
|
|
Service Code
|
HCPCS 36660
|
| Hospital Charge Code |
73092005
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$63.00 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.00
|
|
|
NUR INSERTION CATH,ARTERY UMB
|
Facility
|
OP
|
$420.00
|
|
|
Service Code
|
HCPCS 36660
|
| Hospital Charge Code |
73092005
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$54.60 |
| Max. Negotiated Rate |
$6,873.00 |
| Rate for Payer: Aetna Commercial |
$126.00
|
| Rate for Payer: Aetna Medicare Advantage |
$126.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$107.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$107.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$107.10
|
| Rate for Payer: Cigna Commercial |
$61.99
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$54.60
|
| Rate for Payer: Oxford Commercial |
$6,055.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$6,873.00
|
|
|
NUR INSERTION CATH,ARTERY UMB
|
Facility
|
IP
|
$420.00
|
|
|
Service Code
|
HCPCS 36660
|
| Hospital Charge Code |
93082060
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$63.00 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.00
|
|
|
NUR LUMBAR PUNC, NURSERY
|
Facility
|
OP
|
$3,185.75
|
|
|
Service Code
|
HCPCS 62270
|
| Hospital Charge Code |
73092020
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$414.15 |
| Max. Negotiated Rate |
$2,575.00 |
| Rate for Payer: Aetna Commercial |
$955.73
|
| Rate for Payer: Aetna Medicare Advantage |
$955.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$812.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$812.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$812.37
|
| Rate for Payer: Cigna Commercial |
$1,680.99
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$414.15
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,575.00
|
|
|
NUR LUMBAR PUNC, NURSERY
|
Facility
|
OP
|
$3,185.75
|
|
|
Service Code
|
HCPCS 62270
|
| Hospital Charge Code |
93082075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$414.15 |
| Max. Negotiated Rate |
$2,575.00 |
| Rate for Payer: Aetna Commercial |
$955.73
|
| Rate for Payer: Aetna Medicare Advantage |
$955.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$812.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$812.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$812.37
|
| Rate for Payer: Cigna Commercial |
$1,680.99
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$414.15
|
| Rate for Payer: Oxford Commercial |
$2,269.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,575.00
|
|
|
NUR LUMBAR PUNC, NURSERY
|
Facility
|
IP
|
$3,185.75
|
|
|
Service Code
|
HCPCS 62270
|
| Hospital Charge Code |
93082075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$477.86 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
|
|
NUR LUMBAR PUNC, NURSERY
|
Facility
|
IP
|
$3,185.75
|
|
|
Service Code
|
HCPCS 62270
|
| Hospital Charge Code |
73092020
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$477.86 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
|
|
NUR NEWBORN HEARING SCREEN
|
Facility
|
IP
|
$1,216.36
|
|
|
Service Code
|
HCPCS 92585
|
| Hospital Charge Code |
73092050
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$182.45 |
| Max. Negotiated Rate |
$182.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$182.45
|
|
|
NUR NEWBORN HEARING SCREEN
|
Facility
|
OP
|
$1,216.36
|
|
|
Service Code
|
HCPCS 92585
|
| Hospital Charge Code |
73092050
|
|
Hospital Revenue Code
|
471
|
| Min. Negotiated Rate |
$158.13 |
| Max. Negotiated Rate |
$1,180.00 |
| Rate for Payer: Aetna Commercial |
$364.91
|
| Rate for Payer: Aetna Medicare Advantage |
$364.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$310.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$310.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$310.17
|
| Rate for Payer: Cigna Commercial |
$608.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$158.13
|
| Rate for Payer: Oxford Commercial |
$1,040.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$182.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,180.00
|
|
|
NUR PKU
|
Facility
|
OP
|
$35.00
|
|
|
Service Code
|
HCPCS 84030
|
| Hospital Charge Code |
93082085
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.75 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$17.82
|
| Rate for Payer: Aetna Medicare Advantage |
$5.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.50
|
| 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 |
$20.15
|
| Rate for Payer: Cigna Commercial |
$5.50
|
| Rate for Payer: Cigna Medicare Advantage |
$2.75
|
| Rate for Payer: Clover Medicare Advantage |
$5.22
|
| Rate for Payer: EmblemHealth Commercial |
$16.50
|
| Rate for Payer: Humana Medicare Advantage |
$5.67
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.55
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.50
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.83
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.50
|
|
|
NUR PKU
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 84030
|
| Hospital Charge Code |
73092030
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
NUR PKU
|
Facility
|
IP
|
$35.00
|
|
|
Service Code
|
HCPCS 84030
|
| Hospital Charge Code |
93082085
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
NUR PKU
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 84030
|
| Hospital Charge Code |
73092030
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.75 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$17.82
|
| Rate for Payer: Aetna Medicare Advantage |
$5.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.50
|
| 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 |
$20.15
|
| Rate for Payer: Cigna Commercial |
$5.50
|
| Rate for Payer: Cigna Medicare Advantage |
$2.75
|
| Rate for Payer: Clover Medicare Advantage |
$5.22
|
| Rate for Payer: EmblemHealth Commercial |
$16.50
|
| Rate for Payer: Humana Medicare Advantage |
$5.67
|
| 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 |
$5.50
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.83
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.50
|
|
|
NUR REMOVE DIGIT/SKIN TAG
|
Facility
|
IP
|
$500.00
|
|
|
Service Code
|
HCPCS 11200
|
| Hospital Charge Code |
93082055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$75.00 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.00
|
|
|
NUR REMOVE DIGIT/SKIN TAG
|
Facility
|
IP
|
$500.00
|
|
|
Service Code
|
HCPCS 11200
|
| Hospital Charge Code |
73092001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$75.00 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.00
|
|
|
NUR REMOVE DIGIT/SKIN TAG
|
Facility
|
OP
|
$500.00
|
|
|
Service Code
|
HCPCS 11200
|
| Hospital Charge Code |
73092001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$65.00 |
| Max. Negotiated Rate |
$1,864.00 |
| Rate for Payer: Aetna Commercial |
$150.00
|
| Rate for Payer: Aetna Medicare Advantage |
$150.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$127.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$127.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$127.50
|
| Rate for Payer: Cigna Commercial |
$477.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$65.00
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,686.00
|
|
|
NUR REMOVE DIGIT/SKIN TAG
|
Facility
|
OP
|
$500.00
|
|
|
Service Code
|
HCPCS 11200
|
| Hospital Charge Code |
93082055
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$65.00 |
| Max. Negotiated Rate |
$1,864.00 |
| Rate for Payer: Aetna Commercial |
$150.00
|
| Rate for Payer: Aetna Medicare Advantage |
$150.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$127.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$127.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$127.50
|
| Rate for Payer: Cigna Commercial |
$477.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$65.00
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,686.00
|
|
|
NURSE VISIT OP LEVEL I
|
Facility
|
IP
|
$300.74
|
|
|
Service Code
|
HCPCS 99211
|
| Hospital Charge Code |
4800020
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$45.11 |
| Max. Negotiated Rate |
$45.11 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.11
|
|
|
NURSE VISIT OP LEVEL I
|
Facility
|
OP
|
$300.74
|
|
|
Service Code
|
HCPCS 99211
|
| Hospital Charge Code |
4800020
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$8.30 |
| Max. Negotiated Rate |
$90.22 |
| Rate for Payer: Aetna Commercial |
$90.22
|
| Rate for Payer: Aetna Medicare Advantage |
$90.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.69
|
| Rate for Payer: Cigna Commercial |
$8.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.11
|
|
|
NUR T4
|
Facility
|
OP
|
$47.00
|
|
|
Service Code
|
HCPCS 84437
|
| Hospital Charge Code |
73092035
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.23 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$20.96
|
| Rate for Payer: Aetna Medicare Advantage |
$6.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$12.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.71
|
| Rate for Payer: Cigna Commercial |
$6.47
|
| Rate for Payer: Cigna Medicare Advantage |
$3.23
|
| Rate for Payer: Clover Medicare Advantage |
$6.15
|
| Rate for Payer: EmblemHealth Commercial |
$19.41
|
| Rate for Payer: Humana Medicare Advantage |
$6.66
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.11
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.47
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$6.86
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.47
|
|
|
NUR T4
|
Facility
|
IP
|
$47.00
|
|
|
Service Code
|
HCPCS 84437
|
| Hospital Charge Code |
73092035
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.05 |
| Max. Negotiated Rate |
$7.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.05
|
|
|
NUR TSH
|
Facility
|
IP
|
$629.00
|
|
|
Service Code
|
HCPCS 84443
|
| Hospital Charge Code |
73092040
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$94.35 |
| Max. Negotiated Rate |
$94.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$94.35
|
|
|
NUR TSH
|
Facility
|
OP
|
$629.00
|
|
|
Service Code
|
HCPCS 84443
|
| Hospital Charge Code |
73092040
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$54.43
|
| Rate for Payer: Aetna Medicare Advantage |
$16.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$16.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.56
|
| Rate for Payer: Cigna Commercial |
$16.80
|
| Rate for Payer: Cigna Medicare Advantage |
$8.40
|
| Rate for Payer: Clover Medicare Advantage |
$15.96
|
| Rate for Payer: EmblemHealth Commercial |
$50.40
|
| Rate for Payer: Humana Medicare Advantage |
$17.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$81.77
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$94.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$16.80
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$17.81
|
| Rate for Payer: Wellcare Medicare Advantage |
$16.80
|
|
|
NUT
|
Facility
|
OP
|
$19.10
|
|
| Hospital Charge Code |
270678083
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.48 |
| Max. Negotiated Rate |
$9.55 |
| Rate for Payer: Aetna Commercial |
$5.73
|
| Rate for Payer: Aetna Medicare Advantage |
$5.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.87
|
| Rate for Payer: Cigna Commercial |
$9.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.48
|
| Rate for Payer: Oxford Commercial |
$9.55
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.55
|
|