|
FP EXC SKIN & SUBC HIDRADENIT
|
Facility
|
OP
|
$2,052.00
|
|
|
Service Code
|
HCPCS 11450
|
| Hospital Charge Code |
87502475
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$58.28 |
| Max. Negotiated Rate |
$12,518.07 |
| Rate for Payer: Aetna Commercial |
$9,386.39
|
| Rate for Payer: Aetna Medicare Advantage |
$11,180.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12,518.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12,518.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,450.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$151.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12,518.07
|
| Rate for Payer: Cigna Commercial |
$6,917.28
|
| Rate for Payer: Cigna Medicare Advantage |
$3,450.88
|
| Rate for Payer: Clover Medicare Advantage |
$3,278.34
|
| Rate for Payer: EmblemHealth Commercial |
$10,352.64
|
| Rate for Payer: Humana Medicare Advantage |
$3,554.41
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,450.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$533.52
|
| Rate for Payer: Oxford Commercial |
$410.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$307.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$410.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$64.84
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,450.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,450.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$58.28
|
|
|
FP EXC.SKIN&SUBC HIDRADENIT
|
Facility
|
IP
|
$2,052.00
|
|
|
Service Code
|
HCPCS 11450
|
| Hospital Charge Code |
83652049
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$307.80 |
| Max. Negotiated Rate |
$307.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$307.80
|
|
|
FP EXC.SKIN&SUBC HIDRADENIT
|
Facility
|
OP
|
$2,052.00
|
|
|
Service Code
|
HCPCS 11450
|
| Hospital Charge Code |
83652049
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$58.28 |
| Max. Negotiated Rate |
$12,518.07 |
| Rate for Payer: Aetna Commercial |
$9,386.39
|
| Rate for Payer: Aetna Medicare Advantage |
$11,180.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12,518.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12,518.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,450.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$151.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12,518.07
|
| Rate for Payer: Cigna Commercial |
$6,917.28
|
| Rate for Payer: Cigna Medicare Advantage |
$3,450.88
|
| Rate for Payer: Clover Medicare Advantage |
$3,278.34
|
| Rate for Payer: EmblemHealth Commercial |
$10,352.64
|
| Rate for Payer: Humana Medicare Advantage |
$3,554.41
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,450.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$533.52
|
| Rate for Payer: Oxford Commercial |
$410.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$307.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$410.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$64.84
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,450.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,450.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$58.28
|
|
|
FP FB REMOVAL, EAR
|
Facility
|
IP
|
$299.00
|
|
|
Service Code
|
HCPCS 69200
|
| Hospital Charge Code |
87502655
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$44.85 |
| Max. Negotiated Rate |
$44.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$44.85
|
|
|
FP FB REMOVAL, EAR
|
Facility
|
OP
|
$299.00
|
|
|
Service Code
|
HCPCS 69200
|
| Hospital Charge Code |
87502655
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$8.49 |
| Max. Negotiated Rate |
$573.36 |
| Rate for Payer: Aetna Commercial |
$429.92
|
| Rate for Payer: Aetna Medicare Advantage |
$512.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$573.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$573.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$158.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$20.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$573.36
|
| Rate for Payer: Cigna Commercial |
$316.85
|
| Rate for Payer: Cigna Medicare Advantage |
$158.06
|
| Rate for Payer: Clover Medicare Advantage |
$150.16
|
| Rate for Payer: EmblemHealth Commercial |
$474.18
|
| Rate for Payer: Humana Medicare Advantage |
$162.80
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$158.06
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$77.74
|
| Rate for Payer: Oxford Commercial |
$59.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$44.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$59.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.45
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.49
|
|
|
FP FB REMOVAL EYE EXTERNAL
|
Facility
|
IP
|
$696.50
|
|
|
Service Code
|
HCPCS 65205
|
| Hospital Charge Code |
87502545
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$104.47 |
| Max. Negotiated Rate |
$104.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$104.47
|
|
|
FP FB REMOVAL EYE EXTERNAL
|
Facility
|
OP
|
$696.50
|
|
|
Service Code
|
HCPCS 65205
|
| Hospital Charge Code |
87502545
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$19.78 |
| Max. Negotiated Rate |
$573.36 |
| Rate for Payer: Aetna Commercial |
$429.92
|
| Rate for Payer: Aetna Medicare Advantage |
$512.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$573.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$573.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$158.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$24.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$573.36
|
| Rate for Payer: Cigna Commercial |
$316.85
|
| Rate for Payer: Cigna Medicare Advantage |
$158.06
|
| Rate for Payer: Clover Medicare Advantage |
$150.16
|
| Rate for Payer: EmblemHealth Commercial |
$474.18
|
| Rate for Payer: Humana Medicare Advantage |
$162.80
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$158.06
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$181.09
|
| Rate for Payer: Oxford Commercial |
$139.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$104.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$139.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$22.01
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellcare Medicare Advantage |
$158.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.78
|
|
|
FP FIRST DEGREE INITIAL TREAT
|
Facility
|
IP
|
$372.00
|
|
|
Service Code
|
HCPCS 16000
|
| Hospital Charge Code |
83652075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$55.80 |
| Max. Negotiated Rate |
$55.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.80
|
|
|
FP FIRST DEGREE INITIAL TREAT
|
Facility
|
OP
|
$372.00
|
|
|
Service Code
|
HCPCS 16000
|
| Hospital Charge Code |
83652075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$11.76 |
| Max. Negotiated Rate |
$3,536.00 |
| Rate for Payer: Aetna Commercial |
$648.34
|
| Rate for Payer: Aetna Medicare Advantage |
$772.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$864.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$864.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$238.36
|
| 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 |
$864.65
|
| Rate for Payer: Cigna Commercial |
$477.79
|
| Rate for Payer: Cigna Medicare Advantage |
$238.36
|
| Rate for Payer: Clover Medicare Advantage |
$226.44
|
| Rate for Payer: EmblemHealth Commercial |
$715.08
|
| Rate for Payer: Humana Medicare Advantage |
$245.51
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$238.36
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$96.72
|
| Rate for Payer: Oxford Commercial |
$2,297.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,256.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.76
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$238.36
|
| Rate for Payer: Wellcare Medicare Advantage |
$238.36
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$554.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$543.15
|
|
|
FP FP SPINAL PUNCT,LUMBAR,DIAG
|
Professional
|
Both
|
$468.00
|
|
|
Service Code
|
HCPCS 62270
|
| Hospital Charge Code |
83652259
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$40.50 |
| Max. Negotiated Rate |
$125.85 |
| Rate for Payer: Aetna Medicare Advantage |
$40.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$40.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$40.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$40.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$40.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$40.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$125.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$125.85
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$125.85
|
|
|
FP FUNCT ASPIRATION ABS/HEMT
|
Facility
|
OP
|
$420.44
|
|
|
Service Code
|
HCPCS 10160
|
| Hospital Charge Code |
87502440
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$11.94 |
| Max. Negotiated Rate |
$1,751.90 |
| Rate for Payer: Aetna Commercial |
$1,313.62
|
| Rate for Payer: Aetna Medicare Advantage |
$1,564.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,751.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,751.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$482.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$79.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,751.90
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: Cigna Medicare Advantage |
$482.95
|
| Rate for Payer: Clover Medicare Advantage |
$458.80
|
| Rate for Payer: EmblemHealth Commercial |
$1,448.85
|
| Rate for Payer: Humana Medicare Advantage |
$497.44
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$482.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$109.31
|
| Rate for Payer: Oxford Commercial |
$84.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.07
|
| Rate for Payer: UnitedHealthcare Commercial |
$84.09
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.29
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$482.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$482.95
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,058.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.94
|
|
|
FP FUNCT ASPIRATION ABS/HEMT
|
Facility
|
IP
|
$420.44
|
|
|
Service Code
|
HCPCS 10160
|
| Hospital Charge Code |
87502440
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$63.07 |
| Max. Negotiated Rate |
$63.07 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$63.07
|
|
|
FP HEMOCULT (BLOOD OCCULT)
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82270
|
| Hospital Charge Code |
87502765
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
FP HEMOCULT (BLOOD OCCULT)
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82270
|
| Hospital Charge Code |
87502765
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$1.98 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$11.91
|
| Rate for Payer: Aetna Medicare Advantage |
$14.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.89
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$4.38
|
| Rate for Payer: Clover Medicare Advantage |
$4.16
|
| Rate for Payer: EmblemHealth Commercial |
$13.14
|
| Rate for Payer: Humana Medicare Advantage |
$4.51
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$101.40
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.50
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4.38
|
| Rate for Payer: Wellcare Medicare Advantage |
$4.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
FP HM VIS E&M ESTPT LOW COM 25
|
Facility
|
OP
|
$165.00
|
|
|
Service Code
|
HCPCS 99348
|
| Hospital Charge Code |
87502355
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.69 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$62.70
|
| Rate for Payer: Aetna Medicare Advantage |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.08
|
| Rate for Payer: Cigna Commercial |
$82.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.69
|
|
|
FP HM VIS E&M ESTPT LOW COM 25
|
Facility
|
IP
|
$165.00
|
|
|
Service Code
|
HCPCS 99348
|
| Hospital Charge Code |
87502355
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
|
|
FP HOME VISIT E&M EST. PT L C
|
Professional
|
Both
|
$165.00
|
|
|
Service Code
|
HCPCS 99348
|
| Hospital Charge Code |
83652463
|
|
Hospital Revenue Code
|
969
|
| Min. Negotiated Rate |
$79.59 |
| Max. Negotiated Rate |
$79.59 |
| Rate for Payer: Aetna Medicare Advantage |
$79.59
|
| Rate for Payer: Clover Medicare Advantage |
$79.59
|
|
|
FP I&D ABCESS/CYST COMP/MULTI
|
Facility
|
OP
|
$610.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
83652003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$17.32 |
| Max. Negotiated Rate |
$1,751.90 |
| Rate for Payer: Aetna Commercial |
$1,313.62
|
| Rate for Payer: Aetna Medicare Advantage |
$1,564.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,751.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,751.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$482.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$121.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,751.90
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: Cigna Medicare Advantage |
$482.95
|
| Rate for Payer: Clover Medicare Advantage |
$458.80
|
| Rate for Payer: EmblemHealth Commercial |
$1,448.85
|
| Rate for Payer: Humana Medicare Advantage |
$497.44
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$482.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$158.60
|
| Rate for Payer: Oxford Commercial |
$122.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$91.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$122.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.28
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$482.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$482.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.32
|
|
|
FP I&D ABCESS/CYST COMP/MULTI
|
Facility
|
IP
|
$2,237.95
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
87502420
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$335.69 |
| Max. Negotiated Rate |
$335.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$335.69
|
|
|
FP I&D ABCESS/CYST COMP/MULTI
|
Facility
|
OP
|
$2,237.95
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
87502420
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$63.56 |
| Max. Negotiated Rate |
$1,751.90 |
| Rate for Payer: Aetna Commercial |
$1,313.62
|
| Rate for Payer: Aetna Medicare Advantage |
$1,564.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,751.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,751.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$482.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$121.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,751.90
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: Cigna Medicare Advantage |
$482.95
|
| Rate for Payer: Clover Medicare Advantage |
$458.80
|
| Rate for Payer: EmblemHealth Commercial |
$1,448.85
|
| Rate for Payer: Humana Medicare Advantage |
$497.44
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$482.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$581.87
|
| Rate for Payer: Oxford Commercial |
$447.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$335.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$447.59
|
| Rate for Payer: UnitedHealthcare Community & State |
$70.72
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$482.95
|
| Rate for Payer: Wellcare Medicare Advantage |
$482.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$63.56
|
|
|
FP I&D ABCESS/CYST COMP/MULTI
|
Facility
|
IP
|
$610.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
83652003
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$91.50 |
| Max. Negotiated Rate |
$91.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$91.50
|
|
|
FP I&D HEMATOMA FLUID COLLECT
|
Facility
|
IP
|
$8,995.35
|
|
|
Service Code
|
HCPCS 10140
|
| Hospital Charge Code |
87502435
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,349.30 |
| Max. Negotiated Rate |
$1,349.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,349.30
|
|
|
FP I&D HEMATOMA FLUID COLLECT
|
Facility
|
OP
|
$8,995.35
|
|
|
Service Code
|
HCPCS 10140
|
| Hospital Charge Code |
87502435
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$41.58 |
| Max. Negotiated Rate |
$7,117.66 |
| Rate for Payer: Aetna Commercial |
$5,337.02
|
| Rate for Payer: Aetna Medicare Advantage |
$6,357.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7,117.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7,117.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,962.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$41.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7,117.66
|
| Rate for Payer: Cigna Commercial |
$3,933.12
|
| Rate for Payer: Cigna Medicare Advantage |
$1,962.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,864.03
|
| Rate for Payer: EmblemHealth Commercial |
$5,886.42
|
| Rate for Payer: Humana Medicare Advantage |
$2,021.00
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,962.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,338.79
|
| Rate for Payer: Oxford Commercial |
$1,799.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,349.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,799.07
|
| Rate for Payer: UnitedHealthcare Community & State |
$284.25
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$255.47
|
|
|
FP I&D HEMATOMA, FLUID COLLECT
|
Facility
|
IP
|
$882.00
|
|
|
Service Code
|
HCPCS 10140
|
| Hospital Charge Code |
83652009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$132.30 |
| Max. Negotiated Rate |
$132.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$132.30
|
|
|
FP I&D HEMATOMA, FLUID COLLECT
|
Facility
|
OP
|
$882.00
|
|
|
Service Code
|
HCPCS 10140
|
| Hospital Charge Code |
83652009
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$25.05 |
| Max. Negotiated Rate |
$7,117.66 |
| Rate for Payer: Aetna Commercial |
$5,337.02
|
| Rate for Payer: Aetna Medicare Advantage |
$6,357.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7,117.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7,117.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,962.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$41.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7,117.66
|
| Rate for Payer: Cigna Commercial |
$3,933.12
|
| Rate for Payer: Cigna Medicare Advantage |
$1,962.14
|
| Rate for Payer: Clover Medicare Advantage |
$1,864.03
|
| Rate for Payer: EmblemHealth Commercial |
$5,886.42
|
| Rate for Payer: Humana Medicare Advantage |
$2,021.00
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,962.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$229.32
|
| Rate for Payer: Oxford Commercial |
$176.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$132.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$176.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.87
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,962.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.05
|
|
