|
PART EXC BONE; DISTAL PHALANX
|
Facility
|
OP
|
$17,164.20
|
|
|
Service Code
|
HCPCS 26236
|
| Hospital Charge Code |
16000555
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$487.46 |
| 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 |
$4,462.69
|
| Rate for Payer: Oxford Commercial |
$5,018.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,574.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$5,347.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$542.39
|
| 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 |
$487.46
|
|
|
PARTIAL CARE GROUP
|
Facility
|
IP
|
$433.40
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84518027
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$65.01 |
| Max. Negotiated Rate |
$65.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.01
|
|
|
PARTIAL CARE GROUP
|
Facility
|
IP
|
$800.80
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84517027
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$120.12 |
| Max. Negotiated Rate |
$120.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.12
|
|
|
PARTIAL CARE GROUP
|
Facility
|
OP
|
$800.80
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84517027
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$22.74 |
| Max. Negotiated Rate |
$437.80 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: Aetna Medicare Advantage |
$391.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$120.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$437.80
|
| Rate for Payer: Cigna Commercial |
$241.93
|
| Rate for Payer: Cigna Medicare Advantage |
$120.69
|
| Rate for Payer: Clover Medicare Advantage |
$114.66
|
| Rate for Payer: EmblemHealth Commercial |
$362.07
|
| Rate for Payer: Humana Medicare Advantage |
$124.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$120.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$208.21
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.12
|
| Rate for Payer: UnitedHealthcare Community & State |
$25.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.74
|
|
|
PARTIAL CARE GROUP
|
Facility
|
IP
|
$800.80
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84511027
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$120.12 |
| Max. Negotiated Rate |
$120.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.12
|
|
|
PARTIAL CARE GROUP
|
Facility
|
OP
|
$800.80
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84511027
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$22.74 |
| Max. Negotiated Rate |
$437.80 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: Aetna Medicare Advantage |
$391.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$120.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$437.80
|
| Rate for Payer: Cigna Commercial |
$241.93
|
| Rate for Payer: Cigna Medicare Advantage |
$120.69
|
| Rate for Payer: Clover Medicare Advantage |
$114.66
|
| Rate for Payer: EmblemHealth Commercial |
$362.07
|
| Rate for Payer: Humana Medicare Advantage |
$124.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$120.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$208.21
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.12
|
| Rate for Payer: UnitedHealthcare Community & State |
$25.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.74
|
|
|
PARTIAL CARE GROUP
|
Facility
|
OP
|
$433.40
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84518027
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$12.31 |
| Max. Negotiated Rate |
$437.80 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: Aetna Medicare Advantage |
$391.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$120.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$437.80
|
| Rate for Payer: Cigna Commercial |
$241.93
|
| Rate for Payer: Cigna Medicare Advantage |
$120.69
|
| Rate for Payer: Clover Medicare Advantage |
$114.66
|
| Rate for Payer: EmblemHealth Commercial |
$362.07
|
| Rate for Payer: Humana Medicare Advantage |
$124.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$120.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.70
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.31
|
|
|
PARTIAL CARE GROUP NON MCAID
|
Facility
|
OP
|
$800.80
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84509027
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$22.74 |
| Max. Negotiated Rate |
$437.80 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: Aetna Medicare Advantage |
$391.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$120.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$437.80
|
| Rate for Payer: Cigna Commercial |
$241.93
|
| Rate for Payer: Cigna Medicare Advantage |
$120.69
|
| Rate for Payer: Clover Medicare Advantage |
$114.66
|
| Rate for Payer: EmblemHealth Commercial |
$362.07
|
| Rate for Payer: Humana Medicare Advantage |
$124.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$120.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$208.21
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.12
|
| Rate for Payer: UnitedHealthcare Community & State |
$25.31
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.74
|
|
|
PARTIAL CARE GROUP NON MCAID
|
Facility
|
IP
|
$800.80
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
84509027
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$120.12 |
| Max. Negotiated Rate |
$120.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.12
|
|
|
PARTIAL CARE GROUP W/MD
|
Facility
|
IP
|
$367.85
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
87504070
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$55.18 |
| Max. Negotiated Rate |
$55.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.18
|
|
|
PARTIAL CARE GROUP W/MD
|
Facility
|
OP
|
$367.85
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
87504070
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$10.45 |
| Max. Negotiated Rate |
$437.80 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: Aetna Medicare Advantage |
$391.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$120.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$437.80
|
| Rate for Payer: Cigna Commercial |
$241.93
|
| Rate for Payer: Cigna Medicare Advantage |
$120.69
|
| Rate for Payer: Clover Medicare Advantage |
$114.66
|
| Rate for Payer: EmblemHealth Commercial |
$362.07
|
| Rate for Payer: Humana Medicare Advantage |
$124.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$120.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.18
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.62
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.45
|
|
|
PARTIAL CARE GROUP W/NON MD
|
Facility
|
OP
|
$367.85
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
87504075
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$10.45 |
| Max. Negotiated Rate |
$437.80 |
| Rate for Payer: Aetna Commercial |
$328.28
|
| Rate for Payer: Aetna Medicare Advantage |
$391.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$437.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$120.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$36.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$437.80
|
| Rate for Payer: Cigna Commercial |
$241.93
|
| Rate for Payer: Cigna Medicare Advantage |
$120.69
|
| Rate for Payer: Clover Medicare Advantage |
$114.66
|
| Rate for Payer: EmblemHealth Commercial |
$362.07
|
| Rate for Payer: Humana Medicare Advantage |
$124.31
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$120.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.18
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.62
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare Medicare Advantage |
$120.69
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$27.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.45
|
|
|
PARTIAL CARE GROUP W/NON MD
|
Facility
|
IP
|
$367.85
|
|
|
Service Code
|
HCPCS 90853
|
| Hospital Charge Code |
87504075
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$55.18 |
| Max. Negotiated Rate |
$55.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.18
|
|
|
PARTIAL CARE INDIV MD 20-30MIN
|
Facility
|
OP
|
$409.00
|
|
|
Service Code
|
HCPCS 90817
|
| Hospital Charge Code |
84310040
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$11.62 |
| Max. Negotiated Rate |
$204.50 |
| Rate for Payer: Aetna Commercial |
$155.42
|
| Rate for Payer: Aetna Medicare Advantage |
$122.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$104.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$104.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$104.30
|
| Rate for Payer: Cigna Commercial |
$204.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$106.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.62
|
|
|
PARTIAL CARE INDIV MD 20-30MIN
|
Facility
|
IP
|
$409.00
|
|
|
Service Code
|
HCPCS 90817
|
| Hospital Charge Code |
84310040
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$61.35 |
| Max. Negotiated Rate |
$61.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.35
|
|
|
PARTIAL CARE IND/NON MD 20-30M
|
Facility
|
OP
|
$409.00
|
|
|
Service Code
|
HCPCS 90816
|
| Hospital Charge Code |
84310035
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$11.62 |
| Max. Negotiated Rate |
$204.50 |
| Rate for Payer: Aetna Commercial |
$155.42
|
| Rate for Payer: Aetna Medicare Advantage |
$122.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$104.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$104.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$104.30
|
| Rate for Payer: Cigna Commercial |
$204.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$106.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.62
|
|
|
PARTIAL CARE IND/NON MD 20-30M
|
Facility
|
IP
|
$409.00
|
|
|
Service Code
|
HCPCS 90816
|
| Hospital Charge Code |
84310035
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$61.35 |
| Max. Negotiated Rate |
$61.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.35
|
|
|
PARTIAL CARE IND/NON MD 45-50M
|
Facility
|
OP
|
$563.00
|
|
|
Service Code
|
HCPCS 90818
|
| Hospital Charge Code |
84310045
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$15.99 |
| Max. Negotiated Rate |
$281.50 |
| Rate for Payer: Aetna Commercial |
$213.94
|
| Rate for Payer: Aetna Medicare Advantage |
$168.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$143.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$143.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$143.56
|
| Rate for Payer: Cigna Commercial |
$281.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$146.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$84.45
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15.99
|
|
|
PARTIAL CARE IND/NON MD 45-50M
|
Facility
|
IP
|
$563.00
|
|
|
Service Code
|
HCPCS 90818
|
| Hospital Charge Code |
84310045
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$84.45 |
| Max. Negotiated Rate |
$84.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$84.45
|
|
|
PARTIAL CARE INDV MD 45-50 MIN
|
Facility
|
IP
|
$596.00
|
|
|
Service Code
|
HCPCS 90819
|
| Hospital Charge Code |
84310050
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$89.40 |
| Max. Negotiated Rate |
$89.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$89.40
|
|
|
PARTIAL CARE INDV MD 45-50 MIN
|
Facility
|
OP
|
$596.00
|
|
|
Service Code
|
HCPCS 90819
|
| Hospital Charge Code |
84310050
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$16.93 |
| Max. Negotiated Rate |
$298.00 |
| Rate for Payer: Aetna Commercial |
$226.48
|
| Rate for Payer: Aetna Medicare Advantage |
$178.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$151.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$151.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$151.98
|
| Rate for Payer: Cigna Commercial |
$298.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$154.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$89.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$18.83
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.93
|
|
|
PARTIAL CARE MULTI-FAMILY
|
Facility
|
IP
|
$433.40
|
|
|
Service Code
|
HCPCS 90849
|
| Hospital Charge Code |
87504065
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$65.01 |
| Max. Negotiated Rate |
$65.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.01
|
|
|
PARTIAL CARE MULTI-FAMILY
|
Facility
|
OP
|
$326.00
|
|
|
Service Code
|
HCPCS 90849
|
| Hospital Charge Code |
84310110
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$9.26 |
| Max. Negotiated Rate |
$764.93 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$48.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$84.76
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.30
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.26
|
|
|
PARTIAL CARE MULTI-FAMILY
|
Facility
|
IP
|
$326.00
|
|
|
Service Code
|
HCPCS 90849
|
| Hospital Charge Code |
84310110
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$48.90 |
| Max. Negotiated Rate |
$48.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.90
|
|
|
PARTIAL CARE MULTI-FAMILY
|
Facility
|
OP
|
$433.40
|
|
|
Service Code
|
HCPCS 90849
|
| Hospital Charge Code |
87504065
|
|
Hospital Revenue Code
|
912
|
| Min. Negotiated Rate |
$12.31 |
| Max. Negotiated Rate |
$764.93 |
| Rate for Payer: Aetna Commercial |
$573.57
|
| Rate for Payer: Aetna Medicare Advantage |
$683.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$764.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$210.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$48.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$764.93
|
| Rate for Payer: Cigna Commercial |
$422.69
|
| Rate for Payer: Cigna Medicare Advantage |
$210.87
|
| Rate for Payer: Clover Medicare Advantage |
$200.33
|
| Rate for Payer: EmblemHealth Commercial |
$632.61
|
| Rate for Payer: Humana Medicare Advantage |
$217.20
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$210.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.70
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$210.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.31
|
|
