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Service Code HCPCS 28490
Hospital Charge Code 84208145
Hospital Revenue Code 361
Min. Negotiated Rate $96.75
Max. Negotiated Rate $96.75
Rate for Payer: Qualcare PPO/HMO/WC $96.75
Service Code HCPCS 28490
Hospital Charge Code 84208145
Hospital Revenue Code 361
Min. Negotiated Rate $18.32
Max. Negotiated Rate $3,536.00
Rate for Payer: Aetna Commercial $797.10
Rate for Payer: Aetna Medicare Advantage $949.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $293.05
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 $1,063.04
Rate for Payer: Cigna Commercial $587.42
Rate for Payer: Cigna Medicare Advantage $293.05
Rate for Payer: Clover Medicare Advantage $278.40
Rate for Payer: EmblemHealth Commercial $879.15
Rate for Payer: Humana Medicare Advantage $301.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $293.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $167.70
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $96.75
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $20.38
Rate for Payer: UnitedHealthcare Medicare Advantage $293.05
Rate for Payer: Wellcare Medicare Advantage $293.05
Rate for Payer: Wellpoint Medicaid Managed Care $18.32
Service Code HCPCS 28495
Hospital Charge Code 84208150
Hospital Revenue Code 361
Min. Negotiated Rate $96.75
Max. Negotiated Rate $96.75
Rate for Payer: Qualcare PPO/HMO/WC $96.75
Service Code HCPCS 28495
Hospital Charge Code 84208150
Hospital Revenue Code 361
Min. Negotiated Rate $18.32
Max. Negotiated Rate $3,536.00
Rate for Payer: Aetna Commercial $797.10
Rate for Payer: Aetna Medicare Advantage $949.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $293.05
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 $1,063.04
Rate for Payer: Cigna Commercial $587.42
Rate for Payer: Cigna Medicare Advantage $293.05
Rate for Payer: Clover Medicare Advantage $278.40
Rate for Payer: EmblemHealth Commercial $879.15
Rate for Payer: Humana Medicare Advantage $301.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $293.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $167.70
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $96.75
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $20.38
Rate for Payer: UnitedHealthcare Medicare Advantage $293.05
Rate for Payer: Wellcare Medicare Advantage $293.05
Rate for Payer: Wellpoint Medicaid Managed Care $18.32
Service Code HCPCS 28470
Hospital Charge Code 84208135
Hospital Revenue Code 361
Min. Negotiated Rate $107.25
Max. Negotiated Rate $107.25
Rate for Payer: Qualcare PPO/HMO/WC $107.25
Service Code HCPCS 28470
Hospital Charge Code 84208135
Hospital Revenue Code 361
Min. Negotiated Rate $20.31
Max. Negotiated Rate $3,536.00
Rate for Payer: Aetna Commercial $797.10
Rate for Payer: Aetna Medicare Advantage $949.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $293.05
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 $1,063.04
Rate for Payer: Cigna Commercial $587.42
Rate for Payer: Cigna Medicare Advantage $293.05
Rate for Payer: Clover Medicare Advantage $278.40
Rate for Payer: EmblemHealth Commercial $879.15
Rate for Payer: Humana Medicare Advantage $301.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $293.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $185.90
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $107.25
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $22.59
Rate for Payer: UnitedHealthcare Medicare Advantage $293.05
Rate for Payer: Wellcare Medicare Advantage $293.05
Rate for Payer: Wellpoint Medicaid Managed Care $20.31
Service Code HCPCS 28475
Hospital Charge Code 84208140
Hospital Revenue Code 361
Min. Negotiated Rate $107.25
Max. Negotiated Rate $107.25
Rate for Payer: Qualcare PPO/HMO/WC $107.25
Service Code HCPCS 28475
Hospital Charge Code 84208140
Hospital Revenue Code 361
Min. Negotiated Rate $20.31
Max. Negotiated Rate $3,536.00
Rate for Payer: Aetna Commercial $797.10
Rate for Payer: Aetna Medicare Advantage $949.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,063.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $293.05
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 $1,063.04
Rate for Payer: Cigna Commercial $587.42
Rate for Payer: Cigna Medicare Advantage $293.05
Rate for Payer: Clover Medicare Advantage $278.40
Rate for Payer: EmblemHealth Commercial $879.15
Rate for Payer: Humana Medicare Advantage $301.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $293.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $185.90
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $107.25
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $22.59
Rate for Payer: UnitedHealthcare Medicare Advantage $293.05
Rate for Payer: Wellcare Medicare Advantage $293.05
Rate for Payer: Wellpoint Medicaid Managed Care $20.31
Hospital Charge Code 270338753
Hospital Revenue Code 272
Min. Negotiated Rate $24.15
Max. Negotiated Rate $24.15
Rate for Payer: Qualcare PPO/HMO/WC $24.15
Hospital Charge Code 270338753
Hospital Revenue Code 272
Min. Negotiated Rate $4.57
Max. Negotiated Rate $80.50
Rate for Payer: Aetna Commercial $61.18
Rate for Payer: Aetna Medicare Advantage $48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $41.05
Rate for Payer: Cigna Commercial $80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $41.86
Rate for Payer: Oxford Commercial $32.20
Rate for Payer: Qualcare PPO/HMO/WC $24.15
Rate for Payer: UnitedHealthcare Commercial $32.20
Rate for Payer: UnitedHealthcare Community & State $5.09
Rate for Payer: Wellpoint Medicaid Managed Care $4.57
Hospital Charge Code 270330816
Hospital Revenue Code 272
Min. Negotiated Rate $105.30
Max. Negotiated Rate $105.30
Rate for Payer: Qualcare PPO/HMO/WC $105.30
Hospital Charge Code 270330816
Hospital Revenue Code 272
Min. Negotiated Rate $19.94
Max. Negotiated Rate $351.00
Rate for Payer: Aetna Commercial $266.76
Rate for Payer: Aetna Medicare Advantage $210.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $179.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $179.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $179.01
Rate for Payer: Cigna Commercial $351.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $182.52
Rate for Payer: Oxford Commercial $140.40
Rate for Payer: Qualcare PPO/HMO/WC $105.30
Rate for Payer: UnitedHealthcare Commercial $140.40
Rate for Payer: UnitedHealthcare Community & State $22.18
Rate for Payer: Wellpoint Medicaid Managed Care $19.94
Service Code HCPCS 10060
Hospital Charge Code 84208001
Hospital Revenue Code 361
Min. Negotiated Rate $51.92
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 $427.18
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $246.45
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $51.92
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 $962.01
Rate for Payer: Wellpoint Medicaid Managed Care $943.15
Service Code HCPCS 10060
Hospital Charge Code 84208001
Hospital Revenue Code 361
Min. Negotiated Rate $246.45
Max. Negotiated Rate $246.45
Rate for Payer: Qualcare PPO/HMO/WC $246.45
Service Code HCPCS 10061
Hospital Charge Code 84208005
Hospital Revenue Code 510
Min. Negotiated Rate $246.45
Max. Negotiated Rate $246.45
Rate for Payer: Qualcare PPO/HMO/WC $246.45
Service Code HCPCS 10061
Hospital Charge Code 84208005
Hospital Revenue Code 510
Min. Negotiated Rate $46.66
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 $427.18
Rate for Payer: Qualcare PPO/HMO/WC $246.45
Rate for Payer: UnitedHealthcare Community & State $51.92
Rate for Payer: UnitedHealthcare Medicare Advantage $482.95
Rate for Payer: Wellcare Medicare Advantage $482.95
Rate for Payer: Wellpoint Medicaid Managed Care $46.66
Service Code HCPCS 20605
Hospital Charge Code 84208125
Hospital Revenue Code 361
Min. Negotiated Rate $30.98
Max. Negotiated Rate $3,536.00
Rate for Payer: Aetna Commercial $991.90
Rate for Payer: Aetna Medicare Advantage $1,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,322.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,322.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $364.67
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 $1,322.84
Rate for Payer: Cigna Commercial $730.97
Rate for Payer: Cigna Medicare Advantage $364.67
Rate for Payer: Clover Medicare Advantage $346.44
Rate for Payer: EmblemHealth Commercial $1,094.01
Rate for Payer: Humana Medicare Advantage $375.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $364.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $283.66
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $163.65
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $34.48
Rate for Payer: UnitedHealthcare Medicare Advantage $364.67
Rate for Payer: Wellcare Medicare Advantage $364.67
Rate for Payer: Wellpoint Medicaid Managed Care $30.98
Service Code HCPCS 20605
Hospital Charge Code 84208125
Hospital Revenue Code 361
Min. Negotiated Rate $163.65
Max. Negotiated Rate $163.65
Rate for Payer: Qualcare PPO/HMO/WC $163.65
Service Code HCPCS 20600
Hospital Charge Code 84208120
Hospital Revenue Code 361
Min. Negotiated Rate $30.98
Max. Negotiated Rate $3,536.00
Rate for Payer: Aetna Commercial $991.90
Rate for Payer: Aetna Medicare Advantage $1,181.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1,322.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1,322.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $364.67
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 $1,322.84
Rate for Payer: Cigna Commercial $730.97
Rate for Payer: Cigna Medicare Advantage $364.67
Rate for Payer: Clover Medicare Advantage $346.44
Rate for Payer: EmblemHealth Commercial $1,094.01
Rate for Payer: Humana Medicare Advantage $375.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $364.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $283.66
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $163.65
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $34.48
Rate for Payer: UnitedHealthcare Medicare Advantage $364.67
Rate for Payer: Wellcare Medicare Advantage $364.67
Rate for Payer: Wellpoint Medicaid Managed Care $30.98
Service Code HCPCS 20600
Hospital Charge Code 84208120
Hospital Revenue Code 361
Min. Negotiated Rate $163.65
Max. Negotiated Rate $163.65
Rate for Payer: Qualcare PPO/HMO/WC $163.65
Service Code HCPCS 64450
Hospital Charge Code 84208215
Hospital Revenue Code 361
Min. Negotiated Rate $45.07
Max. Negotiated Rate $3,629.00
Rate for Payer: Aetna Commercial $2,281.02
Rate for Payer: Aetna Medicare Advantage $2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $3,042.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $838.61
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 $3,042.06
Rate for Payer: Cigna Commercial $1,680.99
Rate for Payer: Cigna Medicare Advantage $838.61
Rate for Payer: Clover Medicare Advantage $796.68
Rate for Payer: EmblemHealth Commercial $2,515.83
Rate for Payer: Humana Medicare Advantage $863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $412.62
Rate for Payer: Oxford Commercial $3,505.00
Rate for Payer: Qualcare PPO/HMO/WC $238.05
Rate for Payer: UnitedHealthcare Commercial $3,629.00
Rate for Payer: UnitedHealthcare Community & State $50.15
Rate for Payer: UnitedHealthcare Medicare Advantage $838.61
Rate for Payer: Wellcare Medicare Advantage $838.61
Rate for Payer: Wellpoint Medicaid Managed Care $45.07
Service Code HCPCS 64450
Hospital Charge Code 84208215
Hospital Revenue Code 361
Min. Negotiated Rate $238.05
Max. Negotiated Rate $238.05
Rate for Payer: Qualcare PPO/HMO/WC $238.05
Service Code HCPCS 11900
Hospital Charge Code 84208095
Hospital Revenue Code 361
Min. Negotiated Rate $29.34
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 $268.64
Rate for Payer: Oxford Commercial $2,297.00
Rate for Payer: Qualcare PPO/HMO/WC $154.99
Rate for Payer: UnitedHealthcare Commercial $2,256.00
Rate for Payer: UnitedHealthcare Community & State $32.65
Rate for Payer: UnitedHealthcare Medicare Advantage $238.36
Rate for Payer: Wellcare Medicare Advantage $238.36
Rate for Payer: Wellpoint Medicaid Managed Care $29.34
Service Code HCPCS 11900
Hospital Charge Code 84208095
Hospital Revenue Code 361
Min. Negotiated Rate $154.99
Max. Negotiated Rate $154.99
Rate for Payer: Qualcare PPO/HMO/WC $154.99
Service Code HCPCS 64640
Hospital Charge Code 84208220
Hospital Revenue Code 519
Min. Negotiated Rate $87.12
Max. Negotiated Rate $3,811.70
Rate for Payer: Aetna Commercial $2,858.12
Rate for Payer: Aetna Medicare Advantage $3,404.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $3,811.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $1,050.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $3,811.70
Rate for Payer: Cigna Commercial $2,106.27
Rate for Payer: Cigna Medicare Advantage $1,050.78
Rate for Payer: Clover Medicare Advantage $998.24
Rate for Payer: EmblemHealth Commercial $3,152.34
Rate for Payer: Humana Medicare Advantage $1,082.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $1,050.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $806.78
Rate for Payer: Qualcare PPO/HMO/WC $465.45
Rate for Payer: UnitedHealthcare Community & State $98.05
Rate for Payer: UnitedHealthcare Medicare Advantage $1,050.78
Rate for Payer: Wellcare Medicare Advantage $1,050.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care $2,311.74
Rate for Payer: Wellpoint Medicaid Managed Care $88.13