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Service Code HCPCS C1769
Hospital Charge Code 270686316N
Hospital Revenue Code 278
Min. Negotiated Rate $468.75
Max. Negotiated Rate $756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $756.25
Rate for Payer: Qualcare PPO/HMO/WC $468.75
Service Code HCPCS C1769
Hospital Charge Code 270686316N
Hospital Revenue Code 278
Min. Negotiated Rate $468.75
Max. Negotiated Rate $1,562.50
Rate for Payer: Aetna Commercial $937.50
Rate for Payer: Aetna Medicare Advantage $937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $796.88
Rate for Payer: Cigna Commercial $1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $756.25
Rate for Payer: Qualcare PPO/HMO/WC $468.75
Hospital Charge Code 270703122
Hospital Revenue Code 278
Min. Negotiated Rate $3,075.00
Max. Negotiated Rate $10,250.00
Rate for Payer: Aetna Commercial $6,150.00
Rate for Payer: Aetna Medicare Advantage $6,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $4,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $5,227.50
Rate for Payer: Cigna Commercial $10,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,961.00
Rate for Payer: Qualcare PPO/HMO/WC $3,075.00
Hospital Charge Code 270703122
Hospital Revenue Code 278
Min. Negotiated Rate $3,075.00
Max. Negotiated Rate $4,961.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $4,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,961.00
Rate for Payer: Qualcare PPO/HMO/WC $3,075.00
Hospital Charge Code 270332240
Hospital Revenue Code 272
Min. Negotiated Rate $92.69
Max. Negotiated Rate $356.50
Rate for Payer: Aetna Commercial $213.90
Rate for Payer: Aetna Medicare Advantage $213.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $181.81
Rate for Payer: Cigna Commercial $356.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $92.69
Rate for Payer: Oxford Commercial $356.50
Rate for Payer: Qualcare PPO/HMO/WC $106.95
Rate for Payer: UnitedHealthcare Commercial $356.50
Hospital Charge Code 270332240
Hospital Revenue Code 272
Min. Negotiated Rate $106.95
Max. Negotiated Rate $106.95
Rate for Payer: Qualcare PPO/HMO/WC $106.95
Service Code HCPCS 84630
Hospital Charge Code 38472707
Hospital Revenue Code 301
Min. Negotiated Rate $5.70
Max. Negotiated Rate $114.00
Rate for Payer: Aetna Commercial $36.90
Rate for Payer: Aetna Medicare Advantage $11.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $11.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $29.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $41.73
Rate for Payer: Cigna Commercial $11.39
Rate for Payer: Cigna Medicare Advantage $5.70
Rate for Payer: Clover Medicare Advantage $10.82
Rate for Payer: EmblemHealth Commercial $34.17
Rate for Payer: Humana Medicare Advantage $11.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $21.97
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $25.35
Rate for Payer: UnitedHealthcare Commercial $114.00
Rate for Payer: UnitedHealthcare Medicare Advantage $11.39
Rate for Payer: Wellcare Ambetter Commercial-Exchange $12.07
Rate for Payer: Wellcare Medicare Advantage $11.39
Service Code HCPCS 84630
Hospital Charge Code 38472707
Hospital Revenue Code 301
Min. Negotiated Rate $25.35
Max. Negotiated Rate $25.35
Rate for Payer: Qualcare PPO/HMO/WC $25.35
Hospital Charge Code 60629277
Hospital Revenue Code 250
Min. Negotiated Rate $7.47
Max. Negotiated Rate $7.47
Rate for Payer: Qualcare PPO/HMO/WC $7.47
Hospital Charge Code 60629277
Hospital Revenue Code 250
Min. Negotiated Rate $6.47
Max. Negotiated Rate $24.90
Rate for Payer: Aetna Commercial $14.94
Rate for Payer: Aetna Medicare Advantage $14.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $12.70
Rate for Payer: Cigna Commercial $24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $6.47
Rate for Payer: Oxford Commercial $24.90
Rate for Payer: Qualcare PPO/HMO/WC $7.47
Rate for Payer: UnitedHealthcare Commercial $24.90
Hospital Charge Code 60628425
Hospital Revenue Code 250
Min. Negotiated Rate $10.39
Max. Negotiated Rate $10.39
Rate for Payer: Qualcare PPO/HMO/WC $10.39
Hospital Charge Code 60628425
Hospital Revenue Code 250
Min. Negotiated Rate $9.01
Max. Negotiated Rate $34.65
Rate for Payer: Aetna Commercial $20.79
Rate for Payer: Aetna Medicare Advantage $20.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $17.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $17.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $17.67
Rate for Payer: Cigna Commercial $34.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $9.01
Rate for Payer: Oxford Commercial $34.65
Rate for Payer: Qualcare PPO/HMO/WC $10.39
Rate for Payer: UnitedHealthcare Commercial $34.65
Hospital Charge Code 60634310
Hospital Revenue Code 250
Min. Negotiated Rate $0.13
Max. Negotiated Rate $0.50
Rate for Payer: Aetna Commercial $0.30
Rate for Payer: Aetna Medicare Advantage $0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $0.26
Rate for Payer: Cigna Commercial $0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $0.13
Rate for Payer: Oxford Commercial $0.50
Rate for Payer: Qualcare PPO/HMO/WC $0.15
Rate for Payer: UnitedHealthcare Commercial $0.50
Hospital Charge Code 60634310
Hospital Revenue Code 250
Min. Negotiated Rate $0.15
Max. Negotiated Rate $0.15
Rate for Payer: Qualcare PPO/HMO/WC $0.15
Hospital Charge Code 6025027
Hospital Revenue Code 250
Min. Negotiated Rate $0.50
Max. Negotiated Rate $1.93
Rate for Payer: Aetna Commercial $1.16
Rate for Payer: Aetna Medicare Advantage $1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $0.98
Rate for Payer: Cigna Commercial $1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $0.50
Rate for Payer: Oxford Commercial $1.93
Rate for Payer: Qualcare PPO/HMO/WC $0.58
Rate for Payer: UnitedHealthcare Commercial $1.93
Hospital Charge Code 6025019
Hospital Revenue Code 251
Min. Negotiated Rate $0.50
Max. Negotiated Rate $1.93
Rate for Payer: Aetna Commercial $1.16
Rate for Payer: Aetna Medicare Advantage $1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $0.98
Rate for Payer: Cigna Commercial $1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $0.50
Rate for Payer: Oxford Commercial $1.93
Rate for Payer: Qualcare PPO/HMO/WC $0.58
Rate for Payer: UnitedHealthcare Commercial $1.93
Hospital Charge Code 6025019
Hospital Revenue Code 251
Min. Negotiated Rate $0.58
Max. Negotiated Rate $0.58
Rate for Payer: Qualcare PPO/HMO/WC $0.58
Hospital Charge Code 6025027
Hospital Revenue Code 250
Min. Negotiated Rate $0.58
Max. Negotiated Rate $0.58
Rate for Payer: Qualcare PPO/HMO/WC $0.58
Hospital Charge Code 60628433
Hospital Revenue Code 250
Min. Negotiated Rate $2.02
Max. Negotiated Rate $2.02
Rate for Payer: Qualcare PPO/HMO/WC $2.02
Hospital Charge Code 60628433
Hospital Revenue Code 250
Min. Negotiated Rate $1.75
Max. Negotiated Rate $6.72
Rate for Payer: Aetna Commercial $4.04
Rate for Payer: Aetna Medicare Advantage $4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $3.43
Rate for Payer: Cigna Commercial $6.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1.75
Rate for Payer: Oxford Commercial $6.72
Rate for Payer: Qualcare PPO/HMO/WC $2.02
Rate for Payer: UnitedHealthcare Commercial $6.72
Hospital Charge Code 6010052
Hospital Revenue Code 251
Min. Negotiated Rate $2.58
Max. Negotiated Rate $9.93
Rate for Payer: Aetna Commercial $5.96
Rate for Payer: Aetna Medicare Advantage $5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $5.06
Rate for Payer: Cigna Commercial $9.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2.58
Rate for Payer: Oxford Commercial $9.93
Rate for Payer: Qualcare PPO/HMO/WC $2.98
Rate for Payer: UnitedHealthcare Commercial $9.93
Hospital Charge Code 6010052
Hospital Revenue Code 251
Min. Negotiated Rate $2.98
Max. Negotiated Rate $2.98
Rate for Payer: Qualcare PPO/HMO/WC $2.98
Service Code NDC 63736036305
Hospital Charge Code 606390057
Hospital Revenue Code 250
Min. Negotiated Rate $5.04
Max. Negotiated Rate $19.39
Rate for Payer: Aetna Commercial $11.64
Rate for Payer: Aetna Medicare Advantage $11.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $9.89
Rate for Payer: Cigna Commercial $19.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $5.04
Rate for Payer: Oxford Commercial $19.39
Rate for Payer: Qualcare PPO/HMO/WC $5.82
Rate for Payer: UnitedHealthcare Commercial $19.39
Service Code NDC 63736036305
Hospital Charge Code 606390057
Hospital Revenue Code 250
Min. Negotiated Rate $5.82
Max. Negotiated Rate $5.82
Rate for Payer: Qualcare PPO/HMO/WC $5.82
Service Code NDC 168006231
Hospital Charge Code 60634202
Hospital Revenue Code 250
Min. Negotiated Rate $3.30
Max. Negotiated Rate $3.30
Rate for Payer: Qualcare PPO/HMO/WC $3.30