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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
Hospital Charge Code 60634201
Hospital Revenue Code 250
Min. Negotiated Rate $0.78
Max. Negotiated Rate $3.00
Rate for Payer: Aetna Commercial $1.80
Rate for Payer: Aetna Medicare Advantage $1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1.53
Rate for Payer: Cigna Commercial $3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $0.78
Rate for Payer: Oxford Commercial $3.00
Rate for Payer: Qualcare PPO/HMO/WC $0.90
Rate for Payer: UnitedHealthcare Commercial $3.00
Hospital Charge Code 60634201
Hospital Revenue Code 250
Min. Negotiated Rate $0.90
Max. Negotiated Rate $0.90
Rate for Payer: Qualcare PPO/HMO/WC $0.90
Service Code NDC 74300000065
Hospital Charge Code 60628465
Hospital Revenue Code 250
Min. Negotiated Rate $1.21
Max. Negotiated Rate $1.21
Rate for Payer: Qualcare PPO/HMO/WC $1.21
Service Code NDC 74300000065
Hospital Charge Code 60628465
Hospital Revenue Code 250
Min. Negotiated Rate $1.05
Max. Negotiated Rate $4.02
Rate for Payer: Aetna Commercial $2.41
Rate for Payer: Aetna Medicare Advantage $2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $2.05
Rate for Payer: Cigna Commercial $4.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1.05
Rate for Payer: Oxford Commercial $4.02
Rate for Payer: Qualcare PPO/HMO/WC $1.21
Rate for Payer: UnitedHealthcare Commercial $4.02
Hospital Charge Code 60629206
Hospital Revenue Code 259
Min. Negotiated Rate $6.87
Max. Negotiated Rate $26.43
Rate for Payer: Aetna Commercial $15.86
Rate for Payer: Aetna Medicare Advantage $15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $13.48
Rate for Payer: Cigna Commercial $26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $6.87
Rate for Payer: Oxford Commercial $26.43
Rate for Payer: Qualcare PPO/HMO/WC $7.93
Rate for Payer: UnitedHealthcare Commercial $26.43
Hospital Charge Code 60629206
Hospital Revenue Code 259
Min. Negotiated Rate $7.93
Max. Negotiated Rate $7.93
Rate for Payer: Qualcare PPO/HMO/WC $7.93
Service Code HCPCS 84630
Hospital Charge Code 39900153
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 $86.79
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $100.14
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 39900153
Hospital Revenue Code 301
Min. Negotiated Rate $100.14
Max. Negotiated Rate $100.14
Rate for Payer: Qualcare PPO/HMO/WC $100.14
Hospital Charge Code 60629110
Hospital Revenue Code 250
Min. Negotiated Rate $1.46
Max. Negotiated Rate $5.62
Rate for Payer: Aetna Commercial $3.38
Rate for Payer: Aetna Medicare Advantage $3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $2.87
Rate for Payer: Cigna Commercial $5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1.46
Rate for Payer: Oxford Commercial $5.62
Rate for Payer: Qualcare PPO/HMO/WC $1.69
Rate for Payer: UnitedHealthcare Commercial $5.62
Hospital Charge Code 60629110
Hospital Revenue Code 250
Min. Negotiated Rate $1.69
Max. Negotiated Rate $1.69
Rate for Payer: Qualcare PPO/HMO/WC $1.69
Service Code HCPCS 84202
Hospital Charge Code 38472037
Hospital Revenue Code 301
Min. Negotiated Rate $37.05
Max. Negotiated Rate $37.05
Rate for Payer: Qualcare PPO/HMO/WC $37.05
Service Code HCPCS 84202
Hospital Charge Code 38472037
Hospital Revenue Code 301
Min. Negotiated Rate $7.17
Max. Negotiated Rate $114.00
Rate for Payer: Aetna Commercial $46.49
Rate for Payer: Aetna Medicare Advantage $14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $52.58
Rate for Payer: Cigna Commercial $14.35
Rate for Payer: Cigna Medicare Advantage $7.17
Rate for Payer: Clover Medicare Advantage $13.63
Rate for Payer: EmblemHealth Commercial $43.05
Rate for Payer: Humana Medicare Advantage $14.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $32.11
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $37.05
Rate for Payer: UnitedHealthcare Commercial $114.00
Rate for Payer: UnitedHealthcare Medicare Advantage $14.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange $15.21
Rate for Payer: Wellcare Medicare Advantage $14.35
Service Code HCPCS 84202
Hospital Charge Code 3007796
Hospital Revenue Code 301
Min. Negotiated Rate $23.05
Max. Negotiated Rate $23.05
Rate for Payer: Qualcare PPO/HMO/WC $23.05
Service Code HCPCS 84202
Hospital Charge Code 3007796
Hospital Revenue Code 301
Min. Negotiated Rate $7.17
Max. Negotiated Rate $114.00
Rate for Payer: Aetna Commercial $46.49
Rate for Payer: Aetna Medicare Advantage $14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $19.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $52.58
Rate for Payer: Cigna Commercial $14.35
Rate for Payer: Cigna Medicare Advantage $7.17
Rate for Payer: Clover Medicare Advantage $13.63
Rate for Payer: EmblemHealth Commercial $43.05
Rate for Payer: Humana Medicare Advantage $14.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $19.97
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $23.05
Rate for Payer: UnitedHealthcare Commercial $114.00
Rate for Payer: UnitedHealthcare Medicare Advantage $14.35
Rate for Payer: Wellcare Ambetter Commercial-Exchange $15.21
Rate for Payer: Wellcare Medicare Advantage $14.35
Service Code HCPCS 84630
Hospital Charge Code 3007804
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 $15.81
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $18.25
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 3007804
Hospital Revenue Code 301
Min. Negotiated Rate $18.25
Max. Negotiated Rate $18.25
Rate for Payer: Qualcare PPO/HMO/WC $18.25
Service Code NDC 394012402
Hospital Charge Code 606390322
Hospital Revenue Code 250
Min. Negotiated Rate $0.52
Max. Negotiated Rate $2.00
Rate for Payer: Aetna Commercial $1.20
Rate for Payer: Aetna Medicare Advantage $1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1.02
Rate for Payer: Cigna Commercial $2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $0.52
Rate for Payer: Oxford Commercial $2.00
Rate for Payer: Qualcare PPO/HMO/WC $0.60
Rate for Payer: UnitedHealthcare Commercial $2.00
Service Code NDC 394012402
Hospital Charge Code 606390322
Hospital Revenue Code 250
Min. Negotiated Rate $0.60
Max. Negotiated Rate $0.60
Rate for Payer: Qualcare PPO/HMO/WC $0.60
Service Code NDC 41163026649
Hospital Charge Code 60627939
Hospital Revenue Code 250
Min. Negotiated Rate $0.60
Max. Negotiated Rate $0.60
Rate for Payer: Qualcare PPO/HMO/WC $0.60
Service Code NDC 41163026649
Hospital Charge Code 60627939
Hospital Revenue Code 250
Min. Negotiated Rate $0.52
Max. Negotiated Rate $2.00
Rate for Payer: Aetna Commercial $1.20
Rate for Payer: Aetna Medicare Advantage $1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1.02
Rate for Payer: Cigna Commercial $2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $0.52
Rate for Payer: Oxford Commercial $2.00
Rate for Payer: Qualcare PPO/HMO/WC $0.60
Rate for Payer: UnitedHealthcare Commercial $2.00
Hospital Charge Code 6005706
Hospital Revenue Code 251
Min. Negotiated Rate $7.88
Max. Negotiated Rate $7.88
Rate for Payer: Qualcare PPO/HMO/WC $7.88
Hospital Charge Code 6005706
Hospital Revenue Code 251
Min. Negotiated Rate $6.83
Max. Negotiated Rate $26.25
Rate for Payer: Aetna Commercial $15.75
Rate for Payer: Aetna Medicare Advantage $15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $13.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $13.39
Rate for Payer: Cigna Commercial $26.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $6.83
Rate for Payer: Oxford Commercial $26.25
Rate for Payer: Qualcare PPO/HMO/WC $7.88
Rate for Payer: UnitedHealthcare Commercial $26.25
Service Code HCPCS 82570
Hospital Charge Code 3030483A
Hospital Revenue Code 301
Min. Negotiated Rate $2.59
Max. Negotiated Rate $114.00
Rate for Payer: Aetna Commercial $16.78
Rate for Payer: Aetna Medicare Advantage $5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $18.98
Rate for Payer: Cigna Commercial $5.18
Rate for Payer: Cigna Medicare Advantage $2.59
Rate for Payer: Clover Medicare Advantage $4.92
Rate for Payer: EmblemHealth Commercial $15.54
Rate for Payer: Humana Medicare Advantage $5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $13.91
Rate for Payer: Oxford Commercial $101.00
Rate for Payer: Qualcare PPO/HMO/WC $16.05
Rate for Payer: UnitedHealthcare Commercial $114.00
Rate for Payer: UnitedHealthcare Medicare Advantage $5.18
Rate for Payer: Wellcare Ambetter Commercial-Exchange $5.49
Rate for Payer: Wellcare Medicare Advantage $5.18
Service Code HCPCS 82570
Hospital Charge Code 3030483A
Hospital Revenue Code 301
Min. Negotiated Rate $16.05
Max. Negotiated Rate $16.05
Rate for Payer: Qualcare PPO/HMO/WC $16.05