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Service Code HCPCS 22515
Hospital Charge Code 411022515
Hospital Revenue Code 320
Min. Negotiated Rate $438.61
Max. Negotiated Rate $7,721.93
Rate for Payer: Aetna Commercial $5,868.66
Rate for Payer: Aetna Medicare Advantage $4,633.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $3,938.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $3,938.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $2,913.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $3,938.18
Rate for Payer: Cigna Commercial $7,721.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,015.40
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $2,316.58
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $488.03
Rate for Payer: Wellpoint Medicaid Managed Care $438.61
Service Code HCPCS 22515
Hospital Charge Code 5701108
Hospital Revenue Code 320
Min. Negotiated Rate $2,316.58
Max. Negotiated Rate $2,316.58
Rate for Payer: Qualcare PPO/HMO/WC $2,316.58
Service Code HCPCS 22515
Hospital Charge Code 5701108
Hospital Revenue Code 320
Min. Negotiated Rate $438.61
Max. Negotiated Rate $7,721.93
Rate for Payer: Aetna Commercial $5,868.66
Rate for Payer: Aetna Medicare Advantage $4,633.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $3,938.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $3,938.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $2,913.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $3,938.18
Rate for Payer: Cigna Commercial $7,721.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,015.40
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $2,316.58
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $488.03
Rate for Payer: Wellpoint Medicaid Managed Care $438.61
Service Code HCPCS 22513
Hospital Charge Code 366822513
Hospital Revenue Code 320
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22514
Hospital Charge Code 411022514
Hospital Revenue Code 320
Min. Negotiated Rate $1,065.98
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 $4,797.40
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 $6,034.40
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 $9,758.96
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98
Service Code HCPCS 22513
Hospital Charge Code 5701106
Hospital Revenue Code 360
Min. Negotiated Rate $1,065.98
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 $9,758.96
Rate for Payer: Oxford Commercial $13,407.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $14,869.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98
Service Code HCPCS 22514
Hospital Charge Code 321022514
Hospital Revenue Code 320
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22514
Hospital Charge Code 1600000450
Hospital Revenue Code 360
Min. Negotiated Rate $955.33
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 $8,746.02
Rate for Payer: Oxford Commercial $13,407.00
Rate for Payer: Qualcare PPO/HMO/WC $5,045.78
Rate for Payer: UnitedHealthcare Commercial $14,869.00
Rate for Payer: UnitedHealthcare Community & State $1,062.98
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 $955.33
Service Code HCPCS 22513
Hospital Charge Code 5701106
Hospital Revenue Code 360
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22513
Hospital Charge Code 7411355
Hospital Revenue Code 320
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22513
Hospital Charge Code 366822513
Hospital Revenue Code 320
Min. Negotiated Rate $1,065.98
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 $4,820.87
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 $6,034.40
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 $9,758.96
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98
Service Code HCPCS 22515
Hospital Charge Code 366822515
Hospital Revenue Code 320
Min. Negotiated Rate $438.61
Max. Negotiated Rate $7,721.93
Rate for Payer: Aetna Commercial $5,868.66
Rate for Payer: Aetna Medicare Advantage $4,633.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $3,938.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $3,938.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $2,913.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $3,938.18
Rate for Payer: Cigna Commercial $7,721.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,015.40
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $2,316.58
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $488.03
Rate for Payer: Wellpoint Medicaid Managed Care $438.61
Service Code HCPCS 22514
Hospital Charge Code 366822514
Hospital Revenue Code 320
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22514
Hospital Charge Code 1600000450
Hospital Revenue Code 360
Min. Negotiated Rate $5,045.78
Max. Negotiated Rate $5,045.78
Rate for Payer: Qualcare PPO/HMO/WC $5,045.78
Service Code HCPCS 22514
Hospital Charge Code 7411356
Hospital Revenue Code 320
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22515
Hospital Charge Code 366822515
Hospital Revenue Code 320
Min. Negotiated Rate $2,316.58
Max. Negotiated Rate $2,316.58
Rate for Payer: Qualcare PPO/HMO/WC $2,316.58
Service Code HCPCS 22514
Hospital Charge Code 366822514
Hospital Revenue Code 320
Min. Negotiated Rate $1,065.98
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 $4,797.40
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 $6,034.40
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 $9,758.96
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98
Service Code HCPCS 22515
Hospital Charge Code 411022515
Hospital Revenue Code 320
Min. Negotiated Rate $2,316.58
Max. Negotiated Rate $2,316.58
Rate for Payer: Qualcare PPO/HMO/WC $2,316.58
Service Code HCPCS 22514
Hospital Charge Code 5701107
Hospital Revenue Code 320
Min. Negotiated Rate $1,065.98
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 $4,797.40
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 $6,034.40
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 $9,758.96
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98
Service Code HCPCS 22513
Hospital Charge Code 411022513
Hospital Revenue Code 320
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22513
Hospital Charge Code 411022513
Hospital Revenue Code 320
Min. Negotiated Rate $1,065.98
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 $4,820.87
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 $6,034.40
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 $9,758.96
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98
Service Code HCPCS 22514
Hospital Charge Code 5701107
Hospital Revenue Code 320
Min. Negotiated Rate $5,630.17
Max. Negotiated Rate $5,630.17
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Service Code HCPCS 22514
Hospital Charge Code 7411356
Hospital Revenue Code 320
Min. Negotiated Rate $1,065.98
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 $4,797.40
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 $6,034.40
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 $9,758.96
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98
Service Code HCPCS 22515
Hospital Charge Code 7411357
Hospital Revenue Code 320
Min. Negotiated Rate $2,316.58
Max. Negotiated Rate $2,316.58
Rate for Payer: Qualcare PPO/HMO/WC $2,316.58
Service Code HCPCS 22513
Hospital Charge Code 321022513
Hospital Revenue Code 320
Min. Negotiated Rate $1,065.98
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 $4,820.87
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 $6,034.40
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 $9,758.96
Rate for Payer: Oxford Commercial $1,955.00
Rate for Payer: Qualcare PPO/HMO/WC $5,630.17
Rate for Payer: UnitedHealthcare Commercial $2,231.00
Rate for Payer: UnitedHealthcare Community & State $1,186.09
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 $1,065.98