|
CADASIL
|
Facility
|
OP
|
$128.00
|
|
| Hospital Charge Code |
3035094E
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$38.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.64
|
| Rate for Payer: Cigna Commercial |
$64.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$128.00
|
|
| Hospital Charge Code |
3035094I
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$38.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.64
|
| Rate for Payer: Cigna Commercial |
$64.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$121.00
|
|
| Hospital Charge Code |
3035094W
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.73 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.30
|
| Rate for Payer: Aetna Medicare Advantage |
$36.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.86
|
| Rate for Payer: Cigna Commercial |
$60.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.73
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$121.00
|
|
| Hospital Charge Code |
3035094AB
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.73 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.30
|
| Rate for Payer: Aetna Medicare Advantage |
$36.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.86
|
| Rate for Payer: Cigna Commercial |
$60.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.73
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
IP
|
$128.00
|
|
| Hospital Charge Code |
3035094E
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
|
|
CADASIL
|
Facility
|
IP
|
$128.00
|
|
| Hospital Charge Code |
3035094P
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
|
|
CADASIL
|
Facility
|
IP
|
$128.00
|
|
| Hospital Charge Code |
3035094I
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
|
|
CADASIL
|
Facility
|
IP
|
$128.00
|
|
| Hospital Charge Code |
3035094J
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
|
|
CADASIL
|
Facility
|
OP
|
$128.00
|
|
| Hospital Charge Code |
3035094J
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$38.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.64
|
| Rate for Payer: Cigna Commercial |
$64.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$121.00
|
|
| Hospital Charge Code |
3035094R
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.73 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.30
|
| Rate for Payer: Aetna Medicare Advantage |
$36.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.86
|
| Rate for Payer: Cigna Commercial |
$60.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.73
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$121.00
|
|
| Hospital Charge Code |
3035094AC
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.73 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.30
|
| Rate for Payer: Aetna Medicare Advantage |
$36.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.86
|
| Rate for Payer: Cigna Commercial |
$60.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.73
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$128.00
|
|
| Hospital Charge Code |
30350949Q
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$38.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.64
|
| Rate for Payer: Cigna Commercial |
$64.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
IP
|
$121.00
|
|
| Hospital Charge Code |
3035094AC
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.15 |
| Max. Negotiated Rate |
$18.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
|
|
CADASIL
|
Facility
|
IP
|
$390.00
|
|
| Hospital Charge Code |
3035094X
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CADASIL
|
Facility
|
OP
|
$121.00
|
|
| Hospital Charge Code |
3035094AE
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.73 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.30
|
| Rate for Payer: Aetna Medicare Advantage |
$36.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.86
|
| Rate for Payer: Cigna Commercial |
$60.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.73
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$121.00
|
|
| Hospital Charge Code |
3035094U
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.73 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.30
|
| Rate for Payer: Aetna Medicare Advantage |
$36.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.86
|
| Rate for Payer: Cigna Commercial |
$60.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.73
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
IP
|
$121.00
|
|
| Hospital Charge Code |
3035094Y
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.15 |
| Max. Negotiated Rate |
$18.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
|
|
CADASIL
|
Facility
|
OP
|
$128.00
|
|
| Hospital Charge Code |
3035094D
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$38.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.64
|
| Rate for Payer: Cigna Commercial |
$64.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
IP
|
$128.00
|
|
| Hospital Charge Code |
3035094K
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
|
|
CADASIL
|
Facility
|
IP
|
$128.00
|
|
| Hospital Charge Code |
3035094F
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
|
|
CADASIL
|
Facility
|
OP
|
$128.00
|
|
| Hospital Charge Code |
3035094P
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$38.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.64
|
| Rate for Payer: Cigna Commercial |
$64.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
OP
|
$128.00
|
|
| Hospital Charge Code |
3035094B
|
|
Hospital Revenue Code
|
304
|
| Min. Negotiated Rate |
$16.64 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$38.40
|
| Rate for Payer: Aetna Medicare Advantage |
$38.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.64
|
| Rate for Payer: Cigna Commercial |
$64.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.64
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|
|
CADASIL
|
Facility
|
IP
|
$128.00
|
|
| Hospital Charge Code |
3035094L
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$19.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.20
|
|
|
CADASIL
|
Facility
|
IP
|
$111.00
|
|
| Hospital Charge Code |
3035094AI
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.65 |
| Max. Negotiated Rate |
$16.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.65
|
|
|
CADASIL
|
Facility
|
OP
|
$121.00
|
|
| Hospital Charge Code |
3035094Z
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.73 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.30
|
| Rate for Payer: Aetna Medicare Advantage |
$36.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.86
|
| Rate for Payer: Cigna Commercial |
$60.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.73
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
|