|
ENDOTREACHEAL SHER 1 BRONCH
|
Facility
|
OP
|
$268.33
|
|
| Hospital Charge Code |
270660426
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.62 |
| Max. Negotiated Rate |
$134.16 |
| Rate for Payer: Aetna Commercial |
$101.97
|
| Rate for Payer: Aetna Medicare Advantage |
$80.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$68.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$68.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$68.42
|
| Rate for Payer: Cigna Commercial |
$134.16
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$69.77
|
| Rate for Payer: Oxford Commercial |
$53.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$40.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$53.67
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.62
|
|
|
ENDOVASC IC PR ADM 1ST TERR
|
Facility
|
OP
|
$4,582.00
|
|
|
Service Code
|
HCPCS 61650
|
| Hospital Charge Code |
5792273
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$130.13 |
| Max. Negotiated Rate |
$2,291.00 |
| Rate for Payer: Aetna Commercial |
$1,741.16
|
| Rate for Payer: Aetna Medicare Advantage |
$1,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,168.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,168.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$312.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,168.41
|
| Rate for Payer: Cigna Commercial |
$2,291.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,191.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$687.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$140.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$130.13
|
|
|
ENDOVASC IC PR ADM 1ST TERR
|
Facility
|
OP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61650
|
| Hospital Charge Code |
2600241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$222.23 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$2,973.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,347.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,995.38
|
| Rate for Payer: Cigna Commercial |
$3,912.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,034.50
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$247.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$222.23
|
|
|
ENDOVASC IC PR ADM 1ST TERR
|
Facility
|
IP
|
$4,582.00
|
|
|
Service Code
|
HCPCS 61650
|
| Hospital Charge Code |
5792273
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$687.30 |
| Max. Negotiated Rate |
$687.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$687.30
|
|
|
ENDOVASC IC PR ADM 1ST TERR
|
Facility
|
IP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61650
|
| Hospital Charge Code |
2600241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,173.75 |
| Max. Negotiated Rate |
$1,173.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
|
|
ENDOVASC IC PR ADM 1ST TERR
|
Facility
|
OP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61650
|
| Hospital Charge Code |
7411645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$222.23 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$2,973.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,347.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,995.38
|
| Rate for Payer: Cigna Commercial |
$3,912.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,034.50
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$247.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$222.23
|
|
|
ENDOVASC IC PR ADM 1ST TERR
|
Facility
|
IP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61650
|
| Hospital Charge Code |
7411645
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,173.75 |
| Max. Negotiated Rate |
$1,173.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
|
|
ENDOVASC IC PR ADM EA ADD TERR
|
Facility
|
IP
|
$4,582.00
|
|
|
Service Code
|
HCPCS 61651
|
| Hospital Charge Code |
5792274
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$687.30 |
| Max. Negotiated Rate |
$687.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$687.30
|
|
|
ENDOVASC IC PR ADM EA ADD TERR
|
Facility
|
OP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61651
|
| Hospital Charge Code |
7411646
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$222.23 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$2,973.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,347.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,995.38
|
| Rate for Payer: Cigna Commercial |
$3,912.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,034.50
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$247.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$222.23
|
|
|
ENDOVASC IC PR ADM EA ADD TERR
|
Facility
|
IP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61651
|
| Hospital Charge Code |
7411646
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,173.75 |
| Max. Negotiated Rate |
$1,173.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
|
|
ENDOVASC IC PR ADM EA ADD TERR
|
Facility
|
OP
|
$4,582.00
|
|
|
Service Code
|
HCPCS 61651
|
| Hospital Charge Code |
5792274
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$130.13 |
| Max. Negotiated Rate |
$2,291.00 |
| Rate for Payer: Aetna Commercial |
$1,741.16
|
| Rate for Payer: Aetna Medicare Advantage |
$1,374.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,168.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,168.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$132.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,168.41
|
| Rate for Payer: Cigna Commercial |
$2,291.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,191.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$687.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$140.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$130.13
|
|
|
ENDOVASC IC PR ADM EA ADD TERR
|
Facility
|
IP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61651
|
| Hospital Charge Code |
2600242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,173.75 |
| Max. Negotiated Rate |
$1,173.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
|
|
ENDOVASC IC PR ADM EA ADD TERR
|
Facility
|
OP
|
$7,825.00
|
|
|
Service Code
|
HCPCS 61651
|
| Hospital Charge Code |
2600242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$222.23 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$2,973.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,347.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,995.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,995.38
|
| Rate for Payer: Cigna Commercial |
$3,912.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,034.50
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,173.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$247.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$222.23
|
|
|
ENDOVASC TAA REPR W/O SUBCL
|
Facility
|
IP
|
$9,572.95
|
|
|
Service Code
|
HCPCS 33881
|
| Hospital Charge Code |
7411390
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,435.94 |
| Max. Negotiated Rate |
$1,435.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,435.94
|
|
|
ENDOVASC TAA REPR W/O SUBCL
|
Facility
|
OP
|
$9,572.95
|
|
|
Service Code
|
HCPCS 33881
|
| Hospital Charge Code |
7411390
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$271.87 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$3,637.72
|
| Rate for Payer: Aetna Medicare Advantage |
$2,871.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,441.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,441.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,441.10
|
| Rate for Payer: Cigna Commercial |
$4,786.48
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,488.97
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,435.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$302.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$271.87
|
|
|
ENDOVASC TAA REPR W/O SUBCL
|
Facility
|
OP
|
$9,572.95
|
|
|
Service Code
|
HCPCS 33881
|
| Hospital Charge Code |
321033881
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$271.87 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$3,637.72
|
| Rate for Payer: Aetna Medicare Advantage |
$2,871.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,441.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,441.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,441.10
|
| Rate for Payer: Cigna Commercial |
$4,786.48
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,488.97
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,435.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$302.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$271.87
|
|
|
ENDOVASC TAA REPR W/O SUBCL
|
Facility
|
IP
|
$9,572.95
|
|
|
Service Code
|
HCPCS 33881
|
| Hospital Charge Code |
321033881
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,435.94 |
| Max. Negotiated Rate |
$1,435.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,435.94
|
|
|
ENDOVASC TAA REPR W/O SUBCL
|
Facility
|
OP
|
$9,572.95
|
|
|
Service Code
|
HCPCS 33881
|
| Hospital Charge Code |
5701112
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$271.87 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$3,637.72
|
| Rate for Payer: Aetna Medicare Advantage |
$2,871.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,441.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,441.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,441.10
|
| Rate for Payer: Cigna Commercial |
$4,786.48
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,488.97
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,435.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$302.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$271.87
|
|
|
ENDOVASC TAA REPR W/O SUBCL
|
Facility
|
IP
|
$9,572.95
|
|
|
Service Code
|
HCPCS 33881
|
| Hospital Charge Code |
5701112
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,435.94 |
| Max. Negotiated Rate |
$1,435.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,435.94
|
|
|
ENDOVASC TEMPORY VESSEL OCCL
|
Facility
|
IP
|
$61,620.70
|
|
|
Service Code
|
HCPCS 61623
|
| Hospital Charge Code |
366861623
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,243.10 |
| Max. Negotiated Rate |
$9,243.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9,243.10
|
|
|
ENDOVASC TEMPORY VESSEL OCCL
|
Facility
|
OP
|
$61,620.70
|
|
|
Service Code
|
HCPCS 61623
|
| Hospital Charge Code |
366861623
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,750.03 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16,021.38
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9,243.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,947.21
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,750.03
|
|
|
ENDOVASC TEMPORY VESSEL OCCL
|
Facility
|
IP
|
$61,620.70
|
|
|
Service Code
|
HCPCS 61623
|
| Hospital Charge Code |
411061623
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$9,243.10 |
| Max. Negotiated Rate |
$9,243.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9,243.10
|
|
|
ENDOVASC TEMPORY VESSEL OCCL
|
Facility
|
OP
|
$61,620.70
|
|
|
Service Code
|
HCPCS 61623
|
| Hospital Charge Code |
411061623
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,750.03 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,536.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16,021.38
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9,243.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,947.21
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,750.03
|
|
|
ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES
|
Facility
|
IP
|
$199,765.99
|
|
|
Service Code
|
MSDRG 213
|
| Min. Negotiated Rate |
$60,826.18 |
| Max. Negotiated Rate |
$199,765.99 |
| Rate for Payer: Aetna Commercial |
$144,134.15
|
| Rate for Payer: Aetna Medicare Advantage |
$199,765.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$64,027.56
|
| Rate for Payer: Cigna Commercial |
$127,223.92
|
| Rate for Payer: Cigna Medicare Advantage |
$64,027.56
|
| Rate for Payer: Clover Medicare Advantage |
$60,826.18
|
| Rate for Payer: EmblemHealth Commercial |
$192,082.68
|
| Rate for Payer: Humana Medicare Advantage |
$65,948.39
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$64,027.56
|
| Rate for Payer: Oxford Commercial |
$100,555.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$134,597.24
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$64,027.56
|
| Rate for Payer: Wellcare Medicare Advantage |
$64,027.56
|
|
|
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
|
Facility
|
IP
|
$213,082.62
|
|
|
Service Code
|
MSDRG 266
|
| Min. Negotiated Rate |
$64,880.92 |
| Max. Negotiated Rate |
$213,082.62 |
| Rate for Payer: Aetna Commercial |
$153,618.42
|
| Rate for Payer: Aetna Medicare Advantage |
$213,082.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$173,156.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$173,156.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$68,295.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$173,156.25
|
| Rate for Payer: Cigna Commercial |
$136,620.42
|
| Rate for Payer: Cigna Medicare Advantage |
$68,295.71
|
| Rate for Payer: Clover Medicare Advantage |
$64,880.92
|
| Rate for Payer: EmblemHealth Commercial |
$204,887.13
|
| Rate for Payer: Humana Medicare Advantage |
$70,344.58
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$68,295.71
|
| Rate for Payer: Oxford Commercial |
$107,982.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$144,538.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$68,295.71
|
| Rate for Payer: Wellcare Medicare Advantage |
$68,295.71
|
|
