|
PUNCH BIG BITE RIGHT 3.4MM 30
|
Facility
|
OP
|
$4,541.70
|
|
| Hospital Charge Code |
270665786
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$590.42 |
| Max. Negotiated Rate |
$2,270.85 |
| Rate for Payer: Aetna Commercial |
$1,362.51
|
| Rate for Payer: Aetna Medicare Advantage |
$1,362.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,158.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,158.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,158.13
|
| Rate for Payer: Cigna Commercial |
$2,270.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$590.42
|
| Rate for Payer: Oxford Commercial |
$2,270.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$681.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,270.85
|
|
|
PUNCH BIG BITE RIGHT 3.4MM 30
|
Facility
|
IP
|
$4,541.70
|
|
| Hospital Charge Code |
270665786
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$681.25 |
| Max. Negotiated Rate |
$681.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$681.25
|
|
|
PUNCH BIOPSY 2mm DISPOSABLE
|
Facility
|
IP
|
$10.50
|
|
| Hospital Charge Code |
270638939
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$1.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.57
|
|
|
PUNCH BIOPSY 2mm DISPOSABLE
|
Facility
|
OP
|
$10.50
|
|
| Hospital Charge Code |
270638939
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.36 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Commercial |
$3.15
|
| Rate for Payer: Aetna Medicare Advantage |
$3.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.68
|
| Rate for Payer: Cigna Commercial |
$5.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.36
|
| Rate for Payer: Oxford Commercial |
$5.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.25
|
|
|
PUNCH BIOPSY 3.5mm DISPOSABLE
|
Facility
|
OP
|
$10.50
|
|
| Hospital Charge Code |
270638940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.36 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Commercial |
$3.15
|
| Rate for Payer: Aetna Medicare Advantage |
$3.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.68
|
| Rate for Payer: Cigna Commercial |
$5.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.36
|
| Rate for Payer: Oxford Commercial |
$5.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.25
|
|
|
PUNCH BIOPSY 3.5mm DISPOSABLE
|
Facility
|
IP
|
$10.50
|
|
| Hospital Charge Code |
270638940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$1.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.57
|
|
|
PUNCH BIOPSY 3 MM DISPOSABLE
|
Facility
|
IP
|
$8.75
|
|
| Hospital Charge Code |
270666413
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.31 |
| Max. Negotiated Rate |
$1.31 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.31
|
|
|
PUNCH BIOPSY 3 MM DISPOSABLE
|
Facility
|
OP
|
$8.75
|
|
| Hospital Charge Code |
270666413
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$4.38 |
| Rate for Payer: Aetna Commercial |
$2.62
|
| Rate for Payer: Aetna Medicare Advantage |
$2.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.23
|
| Rate for Payer: Cigna Commercial |
$4.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.14
|
| Rate for Payer: Oxford Commercial |
$4.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.31
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.38
|
|
|
PUNCH BIOPSY 6MM DISP
|
Facility
|
OP
|
$29.60
|
|
| Hospital Charge Code |
270676957
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$14.80 |
| Rate for Payer: Aetna Commercial |
$8.88
|
| Rate for Payer: Aetna Medicare Advantage |
$8.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.55
|
| Rate for Payer: Cigna Commercial |
$14.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.85
|
| Rate for Payer: Oxford Commercial |
$14.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$14.80
|
|
|
PUNCH BIOPSY 6MM DISP
|
Facility
|
IP
|
$29.60
|
|
| Hospital Charge Code |
270676957
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.44 |
| Max. Negotiated Rate |
$4.44 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.44
|
|
|
PUNCH BIOPSY EPPEN 8 X4MM 9CM
|
Facility
|
OP
|
$1,875.00
|
|
| Hospital Charge Code |
270662673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$281.25 |
| Max. Negotiated Rate |
$937.50 |
| Rate for Payer: Aetna Commercial |
$562.50
|
| Rate for Payer: Aetna Medicare Advantage |
$562.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$478.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$478.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$375.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$478.12
|
| Rate for Payer: Cigna Commercial |
$937.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$453.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$281.25
|
|
|
PUNCH BIOPSY EPPEN 8 X4MM 9CM
|
Facility
|
IP
|
$1,875.00
|
|
| Hospital Charge Code |
270662673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$281.25 |
| Max. Negotiated Rate |
$453.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$453.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$281.25
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
OP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
393011104
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$83.13 |
| Max. Negotiated Rate |
$968.07 |
| Rate for Payer: Aetna Commercial |
$310.35
|
| Rate for Payer: Aetna Medicare Advantage |
$310.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$83.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.79
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$134.48
|
| Rate for Payer: Oxford Commercial |
$517.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$517.25
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
IP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
450211104
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$155.17 |
| Max. Negotiated Rate |
$155.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
IP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
412311104
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$155.17 |
| Max. Negotiated Rate |
$155.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
OP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
412311104
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$134.48 |
| Max. Negotiated Rate |
$1,864.00 |
| Rate for Payer: Aetna Commercial |
$310.35
|
| Rate for Payer: Aetna Medicare Advantage |
$310.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.79
|
| 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 |
$263.79
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$134.48
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,686.00
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
IP
|
$9,500.00
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
404311104
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,425.00 |
| Max. Negotiated Rate |
$1,425.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,425.00
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
OP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
303511104
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$83.13 |
| Max. Negotiated Rate |
$968.07 |
| Rate for Payer: Aetna Commercial |
$310.35
|
| Rate for Payer: Aetna Medicare Advantage |
$310.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$83.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.79
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$134.48
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
IP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
393011104
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$155.17 |
| Max. Negotiated Rate |
$155.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
OP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
450211104
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$83.13 |
| Max. Negotiated Rate |
$968.07 |
| Rate for Payer: Aetna Commercial |
$310.35
|
| Rate for Payer: Aetna Medicare Advantage |
$310.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$83.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.79
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$134.48
|
| Rate for Payer: Oxford Commercial |
$517.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$517.25
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
OP
|
$9,500.00
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
404311104
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$968.07 |
| Max. Negotiated Rate |
$2,850.00 |
| Rate for Payer: Aetna Commercial |
$2,850.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,850.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,422.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,422.50
|
| 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 |
$2,422.50
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,235.00
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,425.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,686.00
|
|
|
PUNCH BX SKIN 1ST LESION
|
Facility
|
IP
|
$1,034.49
|
|
|
Service Code
|
HCPCS 11104
|
| Hospital Charge Code |
303511104
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$155.17 |
| Max. Negotiated Rate |
$155.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.17
|
|
|
PUNCH BX SKIN EA ADD LESION
|
Facility
|
OP
|
$517.25
|
|
|
Service Code
|
HCPCS 11105
|
| Hospital Charge Code |
450211105
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$23.16 |
| Max. Negotiated Rate |
$258.62 |
| Rate for Payer: Aetna Commercial |
$155.18
|
| Rate for Payer: Aetna Medicare Advantage |
$155.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$131.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$131.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$40.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$131.90
|
| Rate for Payer: Cigna Commercial |
$23.16
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$67.24
|
| Rate for Payer: Oxford Commercial |
$258.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$77.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$258.62
|
|
|
PUNCH BX SKIN EA ADD LESION
|
Facility
|
OP
|
$517.25
|
|
|
Service Code
|
HCPCS 11105
|
| Hospital Charge Code |
412311105
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$23.16 |
| Max. Negotiated Rate |
$1,864.00 |
| Rate for Payer: Aetna Commercial |
$155.18
|
| Rate for Payer: Aetna Medicare Advantage |
$155.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$131.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$131.90
|
| 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 |
$131.90
|
| Rate for Payer: Cigna Commercial |
$23.16
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$67.24
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$77.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,686.00
|
|
|
PUNCH BX SKIN EA ADD LESION
|
Facility
|
IP
|
$517.25
|
|
|
Service Code
|
HCPCS 11105
|
| Hospital Charge Code |
303511105
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$77.59 |
| Max. Negotiated Rate |
$77.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$77.59
|
|