|
INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$9,226.75
|
|
|
Service Code
|
APR-DRG 4232
|
| Min. Negotiated Rate |
$9,045.83 |
| Max. Negotiated Rate |
$9,226.75 |
| Rate for Payer: UnitedHealthcare Community & State |
$9,045.83
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$9,226.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9,045.83
|
|
|
INBORN ERRORS OF METABOLISM
|
Facility
|
IP
|
$7,257.84
|
|
|
Service Code
|
APR-DRG 4231
|
| Min. Negotiated Rate |
$7,115.53 |
| Max. Negotiated Rate |
$7,257.84 |
| Rate for Payer: UnitedHealthcare Community & State |
$7,115.53
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$7,257.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7,115.53
|
|
|
INC ACHILLES TENDON W GN ANSTH
|
Facility
|
OP
|
$19,467.90
|
|
|
Service Code
|
HCPCS 27606
|
| Hospital Charge Code |
16000479
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$552.89 |
| Max. Negotiated Rate |
$14,100.89 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| 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 |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,061.65
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,920.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$615.19
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$552.89
|
|
|
INC ACHILLES TENDON W GN ANSTH
|
Facility
|
IP
|
$19,467.90
|
|
|
Service Code
|
HCPCS 27606
|
| Hospital Charge Code |
16000479
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,920.18 |
| Max. Negotiated Rate |
$2,920.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,920.18
|
|
|
INCENTIVE SPIROMETER 4000 ML
|
Facility
|
OP
|
$9.95
|
|
| Hospital Charge Code |
270651469
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.28 |
| Max. Negotiated Rate |
$4.97 |
| Rate for Payer: Aetna Commercial |
$3.78
|
| Rate for Payer: Aetna Medicare Advantage |
$2.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.54
|
| Rate for Payer: Cigna Commercial |
$4.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.59
|
| Rate for Payer: Oxford Commercial |
$1.99
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.99
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.28
|
|
|
INCENTIVE SPIROMETER 4000 ML
|
Facility
|
IP
|
$9.95
|
|
| Hospital Charge Code |
270651469
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.49 |
| Max. Negotiated Rate |
$1.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.49
|
|
|
INCIS 1 VERTEBRAL SEG LUMBAR
|
Facility
|
OP
|
$6,759.00
|
|
|
Service Code
|
HCPCS 22214
|
| Hospital Charge Code |
1600000764
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$191.96 |
| Max. Negotiated Rate |
$31,271.12 |
| Rate for Payer: Aetna Commercial |
$23,447.95
|
| Rate for Payer: Aetna Medicare Advantage |
$27,930.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8,620.57
|
| 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 |
$31,271.12
|
| Rate for Payer: Cigna Commercial |
$17,279.91
|
| Rate for Payer: Cigna Medicare Advantage |
$8,620.57
|
| Rate for Payer: Clover Medicare Advantage |
$8,189.54
|
| Rate for Payer: EmblemHealth Commercial |
$25,861.71
|
| Rate for Payer: Humana Medicare Advantage |
$8,879.19
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8,620.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,757.34
|
| Rate for Payer: Oxford Commercial |
$13,407.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,013.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$14,869.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$213.58
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$191.96
|
|
|
INCIS 1 VERTEBRAL SEG LUMBAR
|
Facility
|
IP
|
$6,759.00
|
|
|
Service Code
|
HCPCS 22214
|
| Hospital Charge Code |
1600000764
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,013.85 |
| Max. Negotiated Rate |
$1,013.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,013.85
|
|
|
INCISE FOOT/TOE FASCIA
|
Facility
|
IP
|
$26,594.63
|
|
|
Service Code
|
HCPCS 28008
|
| Hospital Charge Code |
16000235
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,989.19 |
| Max. Negotiated Rate |
$3,989.19 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,989.19
|
|
|
INCISE FOOT/TOE FASCIA
|
Facility
|
OP
|
$26,594.63
|
|
|
Service Code
|
HCPCS 28008
|
| Hospital Charge Code |
16000235
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$755.29 |
| Max. Negotiated Rate |
$14,100.89 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| 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 |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,914.60
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,989.19
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$840.39
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$755.29
|
|
|
INCISE HAND/FINGER TENDON
|
Facility
|
OP
|
$7,538.96
|
|
|
Service Code
|
HCPCS 26460
|
| Hospital Charge Code |
1600000395
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$214.11 |
| Max. Negotiated Rate |
$6,929.76 |
| Rate for Payer: Aetna Commercial |
$5,196.12
|
| Rate for Payer: Aetna Medicare Advantage |
$6,189.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,929.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,929.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$1,910.34
|
| 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 |
$6,929.76
|
| Rate for Payer: Cigna Commercial |
$3,829.26
|
| Rate for Payer: Cigna Medicare Advantage |
$1,910.34
|
| Rate for Payer: Clover Medicare Advantage |
$1,814.82
|
| Rate for Payer: EmblemHealth Commercial |
$5,731.02
|
| Rate for Payer: Humana Medicare Advantage |
$1,967.65
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$1,910.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,960.13
|
| Rate for Payer: Oxford Commercial |
$5,018.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,130.84
|
| Rate for Payer: UnitedHealthcare Commercial |
$5,347.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$238.23
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$1,910.34
|
| Rate for Payer: Wellcare Medicare Advantage |
$1,910.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$214.11
|
|
|
INCISE HAND/FINGER TENDON
|
Facility
|
IP
|
$7,538.96
|
|
|
Service Code
|
HCPCS 26460
|
| Hospital Charge Code |
1600000395
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,130.84 |
| Max. Negotiated Rate |
$1,130.84 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,130.84
|
|
|
INCISE TENDONS & MUSCLES
|
Facility
|
OP
|
$9,222.50
|
|
|
Service Code
|
HCPCS 23406
|
| Hospital Charge Code |
1600000544
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$261.92 |
| Max. Negotiated Rate |
$31,271.12 |
| Rate for Payer: Aetna Commercial |
$23,447.95
|
| Rate for Payer: Aetna Medicare Advantage |
$27,930.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31,271.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$8,620.57
|
| 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 |
$31,271.12
|
| Rate for Payer: Cigna Commercial |
$17,279.91
|
| Rate for Payer: Cigna Medicare Advantage |
$8,620.57
|
| Rate for Payer: Clover Medicare Advantage |
$8,189.54
|
| Rate for Payer: EmblemHealth Commercial |
$25,861.71
|
| Rate for Payer: Humana Medicare Advantage |
$8,879.19
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$8,620.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,397.85
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,383.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$291.43
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellcare Medicare Advantage |
$8,620.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$261.92
|
|
|
INCISE TENDONS & MUSCLES
|
Facility
|
IP
|
$9,222.50
|
|
|
Service Code
|
HCPCS 23406
|
| Hospital Charge Code |
1600000544
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,383.38 |
| Max. Negotiated Rate |
$1,383.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,383.38
|
|
|
INCISE WRIST/FOREARM TENDON
|
Facility
|
OP
|
$10,580.92
|
|
|
Service Code
|
HCPCS 25290
|
| Hospital Charge Code |
16000550
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$300.50 |
| Max. Negotiated Rate |
$14,100.89 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| 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 |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,751.04
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,587.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$334.36
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$300.50
|
|
|
INCISE WRIST/FOREARM TENDON
|
Facility
|
IP
|
$10,580.92
|
|
|
Service Code
|
HCPCS 25290
|
| Hospital Charge Code |
16000550
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,587.14 |
| Max. Negotiated Rate |
$1,587.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,587.14
|
|
|
INCISIONAL BIOPSY OF SKIN, EAC
|
Facility
|
IP
|
$1,278.04
|
|
|
Service Code
|
HCPCS 11107
|
| Hospital Charge Code |
1600000602
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$191.71 |
| Max. Negotiated Rate |
$191.71 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.71
|
|
|
INCISIONAL BIOPSY OF SKIN, EAC
|
Facility
|
OP
|
$1,278.04
|
|
|
Service Code
|
HCPCS 11107
|
| Hospital Charge Code |
1600000602
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$36.30 |
| Max. Negotiated Rate |
$3,536.00 |
| Rate for Payer: Aetna Commercial |
$485.66
|
| Rate for Payer: Aetna Medicare Advantage |
$383.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$325.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$325.90
|
| 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 |
$325.90
|
| Rate for Payer: Cigna Commercial |
$639.02
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$332.29
|
| Rate for Payer: Oxford Commercial |
$2,297.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.71
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,256.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$40.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$36.30
|
|
|
INCISIONAL BX SKIN 1ST LESION
|
Facility
|
OP
|
$9,500.00
|
|
|
Service Code
|
HCPCS 11106
|
| Hospital Charge Code |
404311106
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$269.80 |
| Max. Negotiated Rate |
$3,629.00 |
| Rate for Payer: Aetna Commercial |
$2,388.27
|
| Rate for Payer: Aetna Medicare Advantage |
$2,844.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$878.04
|
| 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 |
$3,185.09
|
| Rate for Payer: Cigna Commercial |
$1,760.02
|
| Rate for Payer: Cigna Medicare Advantage |
$878.04
|
| Rate for Payer: Clover Medicare Advantage |
$834.14
|
| Rate for Payer: EmblemHealth Commercial |
$2,634.12
|
| Rate for Payer: Humana Medicare Advantage |
$904.38
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$878.04
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,470.00
|
| Rate for Payer: Oxford Commercial |
$3,505.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,425.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,629.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$300.20
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$269.80
|
|
|
INCISIONAL BX SKIN 1ST LESION
|
Facility
|
IP
|
$9,500.00
|
|
|
Service Code
|
HCPCS 11106
|
| Hospital Charge Code |
404311106
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,425.00 |
| Max. Negotiated Rate |
$1,425.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,425.00
|
|
|
INCISIONAL BX SKIN 1ST LESION
|
Facility
|
OP
|
$1,841.39
|
|
|
Service Code
|
HCPCS 11106
|
| Hospital Charge Code |
450211106
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$52.30 |
| Max. Negotiated Rate |
$3,185.09 |
| Rate for Payer: Aetna Commercial |
$2,388.27
|
| Rate for Payer: Aetna Medicare Advantage |
$2,844.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$878.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$96.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,185.09
|
| Rate for Payer: Cigna Commercial |
$1,760.02
|
| Rate for Payer: Cigna Medicare Advantage |
$878.04
|
| Rate for Payer: Clover Medicare Advantage |
$834.14
|
| Rate for Payer: EmblemHealth Commercial |
$2,634.12
|
| Rate for Payer: Humana Medicare Advantage |
$904.38
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$878.04
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$478.76
|
| Rate for Payer: Oxford Commercial |
$368.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$276.21
|
| Rate for Payer: UnitedHealthcare Commercial |
$368.28
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.19
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$52.30
|
|
|
INCISIONAL BX SKIN 1ST LESION
|
Facility
|
IP
|
$1,841.39
|
|
|
Service Code
|
HCPCS 11106
|
| Hospital Charge Code |
412311106
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$276.21 |
| Max. Negotiated Rate |
$276.21 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$276.21
|
|
|
INCISIONAL BX SKIN 1ST LESION
|
Facility
|
OP
|
$1,841.39
|
|
|
Service Code
|
HCPCS 11106
|
| Hospital Charge Code |
303511106
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$52.30 |
| Max. Negotiated Rate |
$3,185.09 |
| Rate for Payer: Aetna Commercial |
$2,388.27
|
| Rate for Payer: Aetna Medicare Advantage |
$2,844.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$878.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$96.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,185.09
|
| Rate for Payer: Cigna Commercial |
$1,760.02
|
| Rate for Payer: Cigna Medicare Advantage |
$878.04
|
| Rate for Payer: Clover Medicare Advantage |
$834.14
|
| Rate for Payer: EmblemHealth Commercial |
$2,634.12
|
| Rate for Payer: Humana Medicare Advantage |
$904.38
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$878.04
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$478.76
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$276.21
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.19
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$52.30
|
|
|
INCISIONAL BX SKIN 1ST LESION
|
Facility
|
IP
|
$1,841.39
|
|
|
Service Code
|
HCPCS 11106
|
| Hospital Charge Code |
395011106
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$276.21 |
| Max. Negotiated Rate |
$276.21 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$276.21
|
|
|
INCISIONAL BX SKIN 1ST LESION
|
Facility
|
OP
|
$1,841.39
|
|
|
Service Code
|
HCPCS 11106
|
| Hospital Charge Code |
395011106
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$52.30 |
| Max. Negotiated Rate |
$3,185.09 |
| Rate for Payer: Aetna Commercial |
$2,388.27
|
| Rate for Payer: Aetna Medicare Advantage |
$2,844.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,185.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$878.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$96.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,185.09
|
| Rate for Payer: Cigna Commercial |
$1,760.02
|
| Rate for Payer: Cigna Medicare Advantage |
$878.04
|
| Rate for Payer: Clover Medicare Advantage |
$834.14
|
| Rate for Payer: EmblemHealth Commercial |
$2,634.12
|
| Rate for Payer: Humana Medicare Advantage |
$904.38
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$878.04
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$478.76
|
| Rate for Payer: Oxford Commercial |
$368.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$276.21
|
| Rate for Payer: UnitedHealthcare Commercial |
$368.28
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.19
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellcare Medicare Advantage |
$878.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$52.30
|
|