|
PARANASAL SINUS <3 VWS
|
Facility
|
OP
|
$473.00
|
|
|
Service Code
|
HCPCS 70210
|
| Hospital Charge Code |
94061009
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$37.40 |
| Max. Negotiated Rate |
$1,489.00 |
| Rate for Payer: Aetna Better Health Medicaid |
$212.34
|
| Rate for Payer: Aetna Commercial |
$141.90
|
| Rate for Payer: Aetna Medicare Advantage |
$141.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$120.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$120.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$37.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$120.61
|
| Rate for Payer: Cigna Commercial |
$207.24
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$61.49
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,489.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$216.59
|
|
|
PARANASAL SINUS <3 VWS
|
Facility
|
IP
|
$473.00
|
|
|
Service Code
|
HCPCS 70210
|
| Hospital Charge Code |
94061009
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$70.95 |
| Max. Negotiated Rate |
$70.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.95
|
|
|
PARANASAL SINUSES COMP
|
Facility
|
OP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 70220
|
| Hospital Charge Code |
94061011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$51.42 |
| Max. Negotiated Rate |
$1,530.00 |
| Rate for Payer: Aetna Better Health Medicaid |
$212.34
|
| Rate for Payer: Aetna Commercial |
$1,530.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,300.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$51.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,300.50
|
| Rate for Payer: Cigna Commercial |
$207.24
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$663.00
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,489.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$216.59
|
|
|
PARANASAL SINUSES COMP
|
Facility
|
IP
|
$5,100.00
|
|
|
Service Code
|
HCPCS 70220
|
| Hospital Charge Code |
94061011
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$765.00 |
| Max. Negotiated Rate |
$765.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$765.00
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
IP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070D
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$477.86 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
OP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070C
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Aetna Commercial |
$59.62
|
| Rate for Payer: Aetna Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67.42
|
| Rate for Payer: Cigna Commercial |
$18.40
|
| Rate for Payer: Cigna Medicare Advantage |
$9.20
|
| Rate for Payer: Clover Medicare Advantage |
$17.48
|
| Rate for Payer: EmblemHealth Commercial |
$55.20
|
| Rate for Payer: Humana Medicare Advantage |
$18.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$414.14
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.40
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.40
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
OP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070B
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Aetna Commercial |
$59.62
|
| Rate for Payer: Aetna Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67.42
|
| Rate for Payer: Cigna Commercial |
$18.40
|
| Rate for Payer: Cigna Medicare Advantage |
$9.20
|
| Rate for Payer: Clover Medicare Advantage |
$17.48
|
| Rate for Payer: EmblemHealth Commercial |
$55.20
|
| Rate for Payer: Humana Medicare Advantage |
$18.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$414.14
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.40
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.40
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
OP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070D
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Aetna Commercial |
$59.62
|
| Rate for Payer: Aetna Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67.42
|
| Rate for Payer: Cigna Commercial |
$18.40
|
| Rate for Payer: Cigna Medicare Advantage |
$9.20
|
| Rate for Payer: Clover Medicare Advantage |
$17.48
|
| Rate for Payer: EmblemHealth Commercial |
$55.20
|
| Rate for Payer: Humana Medicare Advantage |
$18.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$414.14
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.40
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.40
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
IP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070C
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$477.86 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
OP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070I
|
|
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
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
IP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070B
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$477.86 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
OP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Aetna Commercial |
$59.62
|
| Rate for Payer: Aetna Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67.42
|
| Rate for Payer: Cigna Commercial |
$18.40
|
| Rate for Payer: Cigna Medicare Advantage |
$9.20
|
| Rate for Payer: Clover Medicare Advantage |
$17.48
|
| Rate for Payer: EmblemHealth Commercial |
$55.20
|
| Rate for Payer: Humana Medicare Advantage |
$18.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$414.14
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.40
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.40
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
IP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070I
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$65.25 |
| Max. Negotiated Rate |
$65.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.25
|
|
|
PARANEOPLASTIC AUTOANBD EVAL I
|
Facility
|
IP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$477.86 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
OP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070G
|
|
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
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
OP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3038070F
|
|
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
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
IP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070H
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$65.25 |
| Max. Negotiated Rate |
$65.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.25
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
IP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070G
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$65.25 |
| Max. Negotiated Rate |
$65.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.25
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
OP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070H
|
|
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
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
IP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3038070F
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
IP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070E
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$477.86 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
|
|
PARANEOPLASTIC AUTOANBD EVAL V
|
Facility
|
OP
|
$3,185.70
|
|
|
Service Code
|
HCPCS 83519
|
| Hospital Charge Code |
3038070E
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$477.86 |
| Rate for Payer: Aetna Commercial |
$59.62
|
| Rate for Payer: Aetna Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67.42
|
| Rate for Payer: Cigna Commercial |
$18.40
|
| Rate for Payer: Cigna Medicare Advantage |
$9.20
|
| Rate for Payer: Clover Medicare Advantage |
$17.48
|
| Rate for Payer: EmblemHealth Commercial |
$55.20
|
| Rate for Payer: Humana Medicare Advantage |
$18.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$414.14
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$477.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$18.40
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$19.50
|
| Rate for Payer: Wellcare Medicare Advantage |
$18.40
|
|
|
PARANEOPLASTIC AUTOANBD EVAL X
|
Facility
|
OP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070J
|
|
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
|
|
|
PARANEOPLASTIC AUTOANBD EVAL X
|
Facility
|
OP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070K
|
|
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
|
|
|
PARANEOPLASTIC AUTOANBD EVAL X
|
Facility
|
IP
|
$435.00
|
|
|
Service Code
|
HCPCS 86256
|
| Hospital Charge Code |
3038070J
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$65.25 |
| Max. Negotiated Rate |
$65.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.25
|
|
