|
PARATHYROID HORMONE
|
Facility
|
OP
|
$1,997.80
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
38472524
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$299.67 |
| Rate for Payer: Aetna Commercial |
$133.75
|
| Rate for Payer: Aetna Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$100.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$151.25
|
| Rate for Payer: Cigna Commercial |
$41.28
|
| Rate for Payer: Cigna Medicare Advantage |
$20.64
|
| Rate for Payer: Clover Medicare Advantage |
$39.22
|
| Rate for Payer: EmblemHealth Commercial |
$123.84
|
| Rate for Payer: Humana Medicare Advantage |
$42.52
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$259.71
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$299.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$41.28
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$43.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$41.28
|
|
|
PARATHYROID HORMONE
|
Facility
|
IP
|
$1,997.80
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
38472524
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$299.67 |
| Max. Negotiated Rate |
$299.67 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$299.67
|
|
|
PARATHYROID HORMONE,INTACT PTH
|
Facility
|
OP
|
$394.45
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
3006335
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Aetna Commercial |
$133.75
|
| Rate for Payer: Aetna Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$100.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$151.25
|
| Rate for Payer: Cigna Commercial |
$41.28
|
| Rate for Payer: Cigna Medicare Advantage |
$20.64
|
| Rate for Payer: Clover Medicare Advantage |
$39.22
|
| Rate for Payer: EmblemHealth Commercial |
$123.84
|
| Rate for Payer: Humana Medicare Advantage |
$42.52
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$51.28
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$41.28
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$43.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$41.28
|
|
|
PARATHYROID HORMONE,INTACT PTH
|
Facility
|
IP
|
$394.45
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
3006335
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$59.17 |
| Max. Negotiated Rate |
$59.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.17
|
|
|
PARATHYROID HORMONE (MID PTH)
|
Facility
|
OP
|
$394.45
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
3004355
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Aetna Commercial |
$133.75
|
| Rate for Payer: Aetna Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$100.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$151.25
|
| Rate for Payer: Cigna Commercial |
$41.28
|
| Rate for Payer: Cigna Medicare Advantage |
$20.64
|
| Rate for Payer: Clover Medicare Advantage |
$39.22
|
| Rate for Payer: EmblemHealth Commercial |
$123.84
|
| Rate for Payer: Humana Medicare Advantage |
$42.52
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$51.28
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$41.28
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$43.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$41.28
|
|
|
PARATHYROID HORMONE (MID PTH)
|
Facility
|
IP
|
$394.45
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
3004355
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$59.17 |
| Max. Negotiated Rate |
$59.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.17
|
|
|
Parathyroid Hormone (PTH), Int
|
Facility
|
OP
|
$394.45
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
39888011
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.64 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Aetna Commercial |
$133.75
|
| Rate for Payer: Aetna Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$151.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$41.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$100.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$151.25
|
| Rate for Payer: Cigna Commercial |
$41.28
|
| Rate for Payer: Cigna Medicare Advantage |
$20.64
|
| Rate for Payer: Clover Medicare Advantage |
$39.22
|
| Rate for Payer: EmblemHealth Commercial |
$123.84
|
| Rate for Payer: Humana Medicare Advantage |
$42.52
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$51.28
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$41.28
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$43.76
|
| Rate for Payer: Wellcare Medicare Advantage |
$41.28
|
|
|
Parathyroid Hormone (PTH), Int
|
Facility
|
IP
|
$394.45
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
39888011
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$59.17 |
| Max. Negotiated Rate |
$59.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.17
|
|
|
PARATHYROID HORMONE RELTD PEPT
|
Facility
|
IP
|
$585.17
|
|
|
Service Code
|
HCPCS 82397
|
| Hospital Charge Code |
3009983
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$87.78 |
| Max. Negotiated Rate |
$87.78 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$87.78
|
|
|
PARATHYROID HORMONE RELTD PEPT
|
Facility
|
OP
|
$585.17
|
|
|
Service Code
|
HCPCS 82397
|
| Hospital Charge Code |
3009983
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.06 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$45.75
|
| Rate for Payer: Aetna Medicare Advantage |
$14.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$14.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.74
|
| Rate for Payer: Cigna Commercial |
$14.12
|
| Rate for Payer: Cigna Medicare Advantage |
$7.06
|
| Rate for Payer: Clover Medicare Advantage |
$13.41
|
| Rate for Payer: EmblemHealth Commercial |
$42.36
|
| Rate for Payer: Humana Medicare Advantage |
$14.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$76.07
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$87.78
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$14.12
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$14.97
|
| Rate for Payer: Wellcare Medicare Advantage |
$14.12
|
|
|
PARATROOPER PLANTR PLT WEIL KT
|
Facility
|
IP
|
$4,725.00
|
|
| Hospital Charge Code |
270700501
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$708.75 |
| Max. Negotiated Rate |
$708.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$708.75
|
|
|
PARATROOPER PLANTR PLT WEIL KT
|
Facility
|
OP
|
$4,725.00
|
|
| Hospital Charge Code |
270700501
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$614.25 |
| Max. Negotiated Rate |
$2,362.50 |
| Rate for Payer: Aetna Commercial |
$1,417.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,417.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,204.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,204.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,204.88
|
| Rate for Payer: Cigna Commercial |
$2,362.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$614.25
|
| Rate for Payer: Oxford Commercial |
$2,362.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$708.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,362.50
|
|
|
PARAVERTEBRAL BLK THOR SINGLE
|
Facility
|
IP
|
$4,077.75
|
|
| Hospital Charge Code |
1650122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$611.66 |
| Max. Negotiated Rate |
$611.66 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$611.66
|
|
|
PARAVERTEBRAL BLK THOR SINGLE
|
Facility
|
OP
|
$4,077.75
|
|
| Hospital Charge Code |
1650122
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$530.11 |
| Max. Negotiated Rate |
$2,038.88 |
| Rate for Payer: Aetna Commercial |
$1,223.33
|
| Rate for Payer: Aetna Medicare Advantage |
$1,223.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,039.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,039.83
|
| 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 |
$1,039.83
|
| Rate for Payer: Cigna Commercial |
$2,038.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$611.66
|
|
|
PARAVERTEBRL BLK THOR CONT INF
|
Facility
|
OP
|
$690.18
|
|
| Hospital Charge Code |
1650124
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$89.72 |
| Max. Negotiated Rate |
$1,864.00 |
| Rate for Payer: Aetna Commercial |
$207.05
|
| Rate for Payer: Aetna Medicare Advantage |
$207.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$176.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$176.00
|
| 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 |
$176.00
|
| Rate for Payer: Cigna Commercial |
$345.09
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$89.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$103.53
|
|
|
PARAVERTEBRL BLK THOR CONT INF
|
Facility
|
IP
|
$690.18
|
|
| Hospital Charge Code |
1650124
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$103.53 |
| Max. Negotiated Rate |
$103.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$103.53
|
|
|
PAREGORIC 60ML (ANNYARUUS MORP
|
Facility
|
OP
|
$7.70
|
|
| Hospital Charge Code |
6023378
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$3.85 |
| Rate for Payer: Aetna Commercial |
$2.31
|
| Rate for Payer: Aetna Medicare Advantage |
$2.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.96
|
| Rate for Payer: Cigna Commercial |
$3.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.00
|
| Rate for Payer: Oxford Commercial |
$3.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.85
|
|
|
PAREGORIC 60ML (ANNYARUUS MORP
|
Facility
|
IP
|
$7.70
|
|
| Hospital Charge Code |
6023378
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$1.16 |
| Max. Negotiated Rate |
$1.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.16
|
|
|
PAREGORIC LIQ 4 OZ
|
Facility
|
OP
|
$53.80
|
|
| Hospital Charge Code |
6004071
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$6.99 |
| Max. Negotiated Rate |
$26.90 |
| Rate for Payer: Aetna Commercial |
$16.14
|
| Rate for Payer: Aetna Medicare Advantage |
$16.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.72
|
| Rate for Payer: Cigna Commercial |
$26.90
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.99
|
| Rate for Payer: Oxford Commercial |
$26.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.07
|
| Rate for Payer: UnitedHealthcare Commercial |
$26.90
|
|
|
PAREGORIC LIQ 4 OZ
|
Facility
|
IP
|
$53.80
|
|
| Hospital Charge Code |
6004071
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$8.07 |
| Max. Negotiated Rate |
$8.07 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.07
|
|
|
PARENTAL NUTRITION INFUSION
|
Facility
|
IP
|
$2,046.73
|
|
| Hospital Charge Code |
8200522
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$307.01 |
| Max. Negotiated Rate |
$307.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$307.01
|
|
|
PARENTAL NUTRITION INFUSION
|
Facility
|
OP
|
$2,046.73
|
|
| Hospital Charge Code |
8200522
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$266.07 |
| Max. Negotiated Rate |
$1,023.37 |
| Rate for Payer: Aetna Commercial |
$614.02
|
| Rate for Payer: Aetna Medicare Advantage |
$614.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$521.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$521.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$521.92
|
| Rate for Payer: Cigna Commercial |
$1,023.37
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$266.07
|
| Rate for Payer: Oxford Commercial |
$1,023.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$307.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,023.37
|
|
|
PARIATEX MESH 12 CM
|
Facility
|
IP
|
$829.00
|
|
| Hospital Charge Code |
270339118
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$124.35 |
| Max. Negotiated Rate |
$200.62 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$165.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$200.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$124.35
|
|
|
PARIATEX MESH 12 CM
|
Facility
|
OP
|
$829.00
|
|
| Hospital Charge Code |
270339118
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$124.35 |
| Max. Negotiated Rate |
$414.50 |
| Rate for Payer: Aetna Commercial |
$248.70
|
| Rate for Payer: Aetna Medicare Advantage |
$248.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$211.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$211.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$165.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$211.40
|
| Rate for Payer: Cigna Commercial |
$414.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$200.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$124.35
|
|
|
PARIATEX MESH 9 CM
|
Facility
|
OP
|
$615.00
|
|
| Hospital Charge Code |
270339117
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$307.50 |
| Rate for Payer: Aetna Commercial |
$184.50
|
| Rate for Payer: Aetna Medicare Advantage |
$184.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$123.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$156.82
|
| Rate for Payer: Cigna Commercial |
$307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$148.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
|