|
CAST WALKER MED
|
Facility
|
IP
|
$65.25
|
|
| Hospital Charge Code |
270649592
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.79 |
| Max. Negotiated Rate |
$9.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.79
|
|
|
CATARACT EYE KIT
|
Facility
|
IP
|
$129.00
|
|
| Hospital Charge Code |
270338741
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.35 |
| Max. Negotiated Rate |
$19.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.35
|
|
|
CATARACT EYE KIT
|
Facility
|
OP
|
$129.00
|
|
| Hospital Charge Code |
270338741
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.77 |
| Max. Negotiated Rate |
$64.50 |
| Rate for Payer: Aetna Commercial |
$38.70
|
| Rate for Payer: Aetna Medicare Advantage |
$38.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.90
|
| Rate for Payer: Cigna Commercial |
$64.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.77
|
| Rate for Payer: Oxford Commercial |
$64.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$64.50
|
|
|
CATARACT PATIENT CARE KIT
|
Facility
|
IP
|
$20.00
|
|
| Hospital Charge Code |
270655878
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$3.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.00
|
|
|
CATARACT PATIENT CARE KIT
|
Facility
|
OP
|
$20.00
|
|
| Hospital Charge Code |
270655878
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.60 |
| Max. Negotiated Rate |
$10.00 |
| Rate for Payer: Aetna Commercial |
$6.00
|
| Rate for Payer: Aetna Medicare Advantage |
$6.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.10
|
| Rate for Payer: Cigna Commercial |
$10.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.60
|
| Rate for Payer: Oxford Commercial |
$10.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.00
|
|
|
CATECHOLAMINE,FRAC/TOT,PL
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
39900328
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CATECHOLAMINE,FRAC/TOT,PL
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
39900328
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATECHOLAMINE,FRAC W/O CR
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
39900057
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CATECHOLAMINE,FRAC W/O CR
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
39900057
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATECHOLAMINES;BLOOD
|
Facility
|
OP
|
$177.45
|
|
|
Service Code
|
HCPCS 82383
|
| Hospital Charge Code |
38477178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$14.54 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$94.22
|
| Rate for Payer: Aetna Medicare Advantage |
$29.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$106.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$106.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$29.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$22.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$106.55
|
| Rate for Payer: Cigna Commercial |
$29.08
|
| Rate for Payer: Cigna Medicare Advantage |
$14.54
|
| Rate for Payer: Clover Medicare Advantage |
$27.63
|
| Rate for Payer: EmblemHealth Commercial |
$87.24
|
| Rate for Payer: Humana Medicare Advantage |
$29.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$23.07
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$29.08
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$30.82
|
| Rate for Payer: Wellcare Medicare Advantage |
$29.08
|
|
|
CATECHOLAMINES;BLOOD
|
Facility
|
IP
|
$177.45
|
|
|
Service Code
|
HCPCS 82383
|
| Hospital Charge Code |
38477178
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$26.62 |
| Max. Negotiated Rate |
$26.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.62
|
|
|
CATECHOLAMINES FRACTIONATED
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
401182384
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CATECHOLAMINES FRACTIONATED
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
401182384
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATECHOLAMINES FRACTIONATED,PL
|
Facility
|
IP
|
$338.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
38472173
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$50.70 |
| Max. Negotiated Rate |
$50.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.70
|
|
|
CATECHOLAMINES FRACTIONATED,PL
|
Facility
|
OP
|
$338.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
38472173
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.94
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATECHOLAMINES,FRACTION URINE
|
Facility
|
IP
|
$332.85
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
3030922
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$49.93 |
| Max. Negotiated Rate |
$49.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.93
|
|
|
CATECHOLAMINES,FRACTION URINE
|
Facility
|
OP
|
$332.85
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
3030922
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.27
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATECHOLAMINES, FRACT (PLASMA)
|
Facility
|
IP
|
$332.85
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
3006137
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$49.93 |
| Max. Negotiated Rate |
$49.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.93
|
|
|
CATECHOLAMINES, FRACT (PLASMA)
|
Facility
|
OP
|
$332.85
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
3006137
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.27
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATECHOLAMINES,FRAC URINE
|
Facility
|
IP
|
$506.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
38472176
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$75.90 |
| Max. Negotiated Rate |
$75.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.90
|
|
|
CATECHOLAMINES,FRAC URINE
|
Facility
|
OP
|
$506.00
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
38472176
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$65.78
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATECHOLAMINES, URINE FREE
|
Facility
|
IP
|
$332.85
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
3030921
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$49.93 |
| Max. Negotiated Rate |
$49.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.93
|
|
|
CATECHOLAMINES, URINE FREE
|
Facility
|
OP
|
$332.85
|
|
|
Service Code
|
HCPCS 82384
|
| Hospital Charge Code |
3030921
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.62 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$81.81
|
| Rate for Payer: Aetna Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.52
|
| Rate for Payer: Cigna Commercial |
$25.25
|
| Rate for Payer: Cigna Medicare Advantage |
$12.62
|
| Rate for Payer: Clover Medicare Advantage |
$23.99
|
| Rate for Payer: EmblemHealth Commercial |
$75.75
|
| Rate for Payer: Humana Medicare Advantage |
$26.01
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.27
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$25.25
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$26.77
|
| Rate for Payer: Wellcare Medicare Advantage |
$25.25
|
|
|
CATH .018 CXI SUPPORT 150 CM
|
Facility
|
IP
|
$1,132.45
|
|
| Hospital Charge Code |
270701472
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$169.87 |
| Max. Negotiated Rate |
$169.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$169.87
|
|
|
CATH .018 CXI SUPPORT 150 CM
|
Facility
|
OP
|
$1,132.45
|
|
| Hospital Charge Code |
270701472
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$147.22 |
| Max. Negotiated Rate |
$566.23 |
| Rate for Payer: Aetna Commercial |
$339.74
|
| Rate for Payer: Aetna Medicare Advantage |
$339.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$288.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$288.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$288.77
|
| Rate for Payer: Cigna Commercial |
$566.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$147.22
|
| Rate for Payer: Oxford Commercial |
$566.23
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$169.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$566.23
|
|