|
ISOVUE M200 10ML
|
Facility
|
OP
|
$90.34
|
|
| Hospital Charge Code |
270653684
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.57 |
| Max. Negotiated Rate |
$45.17 |
| Rate for Payer: Aetna Commercial |
$34.33
|
| Rate for Payer: Aetna Medicare Advantage |
$27.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.04
|
| Rate for Payer: Cigna Commercial |
$45.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$23.49
|
| Rate for Payer: Oxford Commercial |
$18.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.55
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.07
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.57
|
|
|
ISTENT INJECTION
|
Facility
|
OP
|
$13,625.00
|
|
|
Service Code
|
HCPCS C1783
|
| Hospital Charge Code |
270687704
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$386.95 |
| Max. Negotiated Rate |
$6,812.50 |
| Rate for Payer: Aetna Commercial |
$5,177.50
|
| Rate for Payer: Aetna Medicare Advantage |
$4,087.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,474.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,474.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,725.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,474.38
|
| Rate for Payer: Cigna Commercial |
$6,812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,297.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,043.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$430.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$386.95
|
|
|
ISTENT INJECTION
|
Facility
|
IP
|
$13,625.00
|
|
|
Service Code
|
HCPCS C1783
|
| Hospital Charge Code |
270687704
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,043.75 |
| Max. Negotiated Rate |
$3,297.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,725.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,297.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,043.75
|
|
|
ISUPREL/0.2MG/1ML
|
Facility
|
OP
|
$640.32
|
|
|
Service Code
|
NDC 51927429500
|
| Hospital Charge Code |
60633225
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.19 |
| Max. Negotiated Rate |
$320.16 |
| Rate for Payer: Aetna Commercial |
$243.32
|
| Rate for Payer: Aetna Medicare Advantage |
$192.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$163.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$163.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$163.28
|
| Rate for Payer: Cigna Commercial |
$320.16
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$166.48
|
| Rate for Payer: Oxford Commercial |
$128.06
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$128.06
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.23
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.19
|
|
|
ISUPREL/0.2MG/1ML
|
Facility
|
IP
|
$640.32
|
|
|
Service Code
|
NDC 51927429500
|
| Hospital Charge Code |
60633225
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$96.05 |
| Max. Negotiated Rate |
$96.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.05
|
|
|
IUD INSERTION
|
Facility
|
OP
|
$406.00
|
|
|
Service Code
|
HCPCS 58300
|
| Hospital Charge Code |
87502610
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$203.00 |
| Rate for Payer: Aetna Commercial |
$154.28
|
| Rate for Payer: Aetna Medicare Advantage |
$121.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$103.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$103.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$103.53
|
| Rate for Payer: Cigna Commercial |
$203.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$105.56
|
| Rate for Payer: Oxford Commercial |
$81.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$60.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$81.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.83
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.53
|
|
|
IUD INSERTION
|
Facility
|
IP
|
$406.00
|
|
|
Service Code
|
HCPCS 58300
|
| Hospital Charge Code |
87502610
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$60.90 |
| Max. Negotiated Rate |
$60.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$60.90
|
|
|
IUD REMOVAL
|
Facility
|
OP
|
$669.00
|
|
|
Service Code
|
HCPCS 58301
|
| Hospital Charge Code |
87502575
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$19.00 |
| Max. Negotiated Rate |
$1,313.26 |
| Rate for Payer: Aetna Commercial |
$984.72
|
| Rate for Payer: Aetna Medicare Advantage |
$1,172.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,313.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,313.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$362.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,313.26
|
| Rate for Payer: Cigna Commercial |
$725.69
|
| Rate for Payer: Cigna Medicare Advantage |
$362.03
|
| Rate for Payer: Clover Medicare Advantage |
$343.93
|
| Rate for Payer: EmblemHealth Commercial |
$1,086.09
|
| Rate for Payer: Humana Medicare Advantage |
$372.89
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$362.03
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$173.94
|
| Rate for Payer: Oxford Commercial |
$133.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$133.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.14
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$362.03
|
| Rate for Payer: Wellcare Medicare Advantage |
$362.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.00
|
|
|
IUD REMOVAL
|
Facility
|
IP
|
$669.00
|
|
|
Service Code
|
HCPCS 58301
|
| Hospital Charge Code |
87502575
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$100.35 |
| Max. Negotiated Rate |
$100.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.35
|
|
|
IV4 VACC NO PRSV 0.25 ML IM
|
Facility
|
OP
|
$83.65
|
|
|
Service Code
|
HCPCS 90685
|
| Hospital Charge Code |
412390685
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.38 |
| Max. Negotiated Rate |
$41.83 |
| Rate for Payer: Aetna Commercial |
$31.79
|
| Rate for Payer: Aetna Medicare Advantage |
$25.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.33
|
| Rate for Payer: Cigna Commercial |
$41.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.55
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.38
|
|
|
IV4 VACC NO PRSV 0.25 ML IM
|
Facility
|
IP
|
$83.65
|
|
|
Service Code
|
HCPCS 90685
|
| Hospital Charge Code |
412390685
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.55 |
| Max. Negotiated Rate |
$20.24 |
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.55
|
|
|
IV .9% NACL 100ML SINGLE
|
Facility
|
IP
|
$7.70
|
|
| Hospital Charge Code |
270650211
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$1.16 |
| Max. Negotiated Rate |
$1.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.16
|
|
|
IV .9% NACL 100ML SINGLE
|
Facility
|
OP
|
$7.70
|
|
| Hospital Charge Code |
270650211
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$3.85 |
| Rate for Payer: Aetna Commercial |
$2.93
|
| Rate for Payer: Aetna Medicare Advantage |
$2.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.96
|
| Rate for Payer: Cigna Commercial |
$3.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.00
|
| Rate for Payer: Oxford Commercial |
$1.54
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.54
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.22
|
|
|
IV .9% NACL 50ML SINGLE
|
Facility
|
OP
|
$10.80
|
|
| Hospital Charge Code |
270650212
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$5.40 |
| Rate for Payer: Aetna Commercial |
$4.10
|
| Rate for Payer: Aetna Medicare Advantage |
$3.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.75
|
| Rate for Payer: Cigna Commercial |
$5.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.81
|
| Rate for Payer: Oxford Commercial |
$2.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.16
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.31
|
|
|
IV .9% NACL 50ML SINGLE
|
Facility
|
IP
|
$10.80
|
|
| Hospital Charge Code |
270650212
|
|
Hospital Revenue Code
|
258
|
| Min. Negotiated Rate |
$1.62 |
| Max. Negotiated Rate |
$1.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.62
|
|
|
IV ARM 3X1 SUPPORT NEO LATEX F
|
Facility
|
IP
|
$2,412.60
|
|
| Hospital Charge Code |
270664489
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$361.89 |
| Max. Negotiated Rate |
$361.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$361.89
|
|
|
IV ARM 3X1 SUPPORT NEO LATEX F
|
Facility
|
OP
|
$2,412.60
|
|
| Hospital Charge Code |
270664489
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$68.52 |
| Max. Negotiated Rate |
$1,206.30 |
| Rate for Payer: Aetna Commercial |
$916.79
|
| Rate for Payer: Aetna Medicare Advantage |
$723.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$615.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$615.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$615.21
|
| Rate for Payer: Cigna Commercial |
$1,206.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$627.28
|
| Rate for Payer: Oxford Commercial |
$482.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$361.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$482.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$76.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$68.52
|
|
|
IV ARM 3X2 SUPPORT INFANT LATE
|
Facility
|
IP
|
$1,866.90
|
|
| Hospital Charge Code |
270664448
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$280.04 |
| Max. Negotiated Rate |
$280.04 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$280.04
|
|
|
IV ARM 3X2 SUPPORT INFANT LATE
|
Facility
|
OP
|
$1,866.90
|
|
| Hospital Charge Code |
270664448
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$53.02 |
| Max. Negotiated Rate |
$933.45 |
| Rate for Payer: Aetna Commercial |
$709.42
|
| Rate for Payer: Aetna Medicare Advantage |
$560.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$476.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$476.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$476.06
|
| Rate for Payer: Cigna Commercial |
$933.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$485.39
|
| Rate for Payer: Oxford Commercial |
$373.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$280.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$373.38
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$53.02
|
|
|
IVC AND ILIAC VEINS DUPLEX LTD
|
Facility
|
IP
|
$17,200.00
|
|
|
Service Code
|
HCPCS 93979
|
| Hospital Charge Code |
74116055
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$2,580.00 |
| Max. Negotiated Rate |
$2,580.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,580.00
|
|
|
IVC AND ILIAC VEINS DUPLEX LTD
|
Facility
|
IP
|
$17,200.00
|
|
|
Service Code
|
HCPCS 93979
|
| Hospital Charge Code |
2692160
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$2,580.00 |
| Max. Negotiated Rate |
$2,580.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,580.00
|
|
|
IVC AND ILIAC VEINS DUPLEX LTD
|
Facility
|
OP
|
$17,200.00
|
|
|
Service Code
|
HCPCS 93979
|
| Hospital Charge Code |
2692160
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$117.99 |
| Max. Negotiated Rate |
$7,555.00 |
| Rate for Payer: Aetna Commercial |
$337.82
|
| Rate for Payer: Aetna Medicare Advantage |
$402.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$450.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$450.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$124.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$211.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$450.54
|
| Rate for Payer: Cigna Commercial |
$248.96
|
| Rate for Payer: Cigna Medicare Advantage |
$124.20
|
| Rate for Payer: Clover Medicare Advantage |
$117.99
|
| Rate for Payer: EmblemHealth Commercial |
$372.60
|
| Rate for Payer: Humana Medicare Advantage |
$127.93
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$124.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,472.00
|
| Rate for Payer: Oxford Commercial |
$6,888.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,580.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$7,555.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$543.52
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$124.20
|
| Rate for Payer: Wellcare Medicare Advantage |
$124.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$488.48
|
|
|
IVC AND ILIAC VEINS DUPLEX LTD
|
Facility
|
OP
|
$17,200.00
|
|
|
Service Code
|
HCPCS 93979
|
| Hospital Charge Code |
74116055
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$117.99 |
| Max. Negotiated Rate |
$7,555.00 |
| Rate for Payer: Aetna Commercial |
$337.82
|
| Rate for Payer: Aetna Medicare Advantage |
$402.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$450.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$450.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$124.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$211.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$450.54
|
| Rate for Payer: Cigna Commercial |
$248.96
|
| Rate for Payer: Cigna Medicare Advantage |
$124.20
|
| Rate for Payer: Clover Medicare Advantage |
$117.99
|
| Rate for Payer: EmblemHealth Commercial |
$372.60
|
| Rate for Payer: Humana Medicare Advantage |
$127.93
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$124.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,472.00
|
| Rate for Payer: Oxford Commercial |
$6,888.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,580.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$7,555.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$543.52
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$124.20
|
| Rate for Payer: Wellcare Medicare Advantage |
$124.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$488.48
|
|
|
IVC AND ILIAC VEINS DUPLEX LTD
|
Facility
|
IP
|
$17,200.00
|
|
|
Service Code
|
HCPCS 93979
|
| Hospital Charge Code |
74115055
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$2,580.00 |
| Max. Negotiated Rate |
$2,580.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,580.00
|
|
|
IVC AND ILIAC VEINS DUPLEX LTD
|
Facility
|
OP
|
$17,200.00
|
|
|
Service Code
|
HCPCS 93979
|
| Hospital Charge Code |
74115055
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$117.99 |
| Max. Negotiated Rate |
$7,555.00 |
| Rate for Payer: Aetna Commercial |
$337.82
|
| Rate for Payer: Aetna Medicare Advantage |
$402.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$450.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$450.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$124.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$211.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$450.54
|
| Rate for Payer: Cigna Commercial |
$248.96
|
| Rate for Payer: Cigna Medicare Advantage |
$124.20
|
| Rate for Payer: Clover Medicare Advantage |
$117.99
|
| Rate for Payer: EmblemHealth Commercial |
$372.60
|
| Rate for Payer: Humana Medicare Advantage |
$127.93
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$124.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,472.00
|
| Rate for Payer: Oxford Commercial |
$6,888.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,580.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$7,555.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$543.52
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$124.20
|
| Rate for Payer: Wellcare Medicare Advantage |
$124.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$488.48
|
|
