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Hospital Charge Code 6063943268
Hospital Revenue Code 250
Min. Negotiated Rate $0.02
Max. Negotiated Rate $0.33
Rate for Payer: Aetna Commercial $0.25
Rate for Payer: Aetna Medicare Advantage $0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $0.17
Rate for Payer: Cigna Commercial $0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $0.17
Rate for Payer: Oxford Commercial $0.13
Rate for Payer: Qualcare PPO/HMO/WC $0.10
Rate for Payer: UnitedHealthcare Commercial $0.13
Rate for Payer: UnitedHealthcare Community & State $0.02
Rate for Payer: Wellpoint Medicaid Managed Care $0.02
Hospital Charge Code 6063943268
Hospital Revenue Code 250
Min. Negotiated Rate $0.10
Max. Negotiated Rate $0.10
Rate for Payer: Qualcare PPO/HMO/WC $0.10
Service Code NDC 536845080
Hospital Charge Code 6063943231
Hospital Revenue Code 250
Min. Negotiated Rate $0.60
Max. Negotiated Rate $0.60
Rate for Payer: Qualcare PPO/HMO/WC $0.60
Service Code NDC 536845080
Hospital Charge Code 6063943231
Hospital Revenue Code 250
Min. Negotiated Rate $0.11
Max. Negotiated Rate $2.00
Rate for Payer: Aetna Commercial $1.52
Rate for Payer: Aetna Medicare Advantage $1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $1.02
Rate for Payer: Cigna Commercial $2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $1.04
Rate for Payer: Oxford Commercial $0.80
Rate for Payer: Qualcare PPO/HMO/WC $0.60
Rate for Payer: UnitedHealthcare Commercial $0.80
Rate for Payer: UnitedHealthcare Community & State $0.13
Rate for Payer: Wellpoint Medicaid Managed Care $0.11
Service Code HCPCS 86965
Hospital Charge Code 3100519
Hospital Revenue Code 300
Min. Negotiated Rate $58.50
Max. Negotiated Rate $58.50
Rate for Payer: Qualcare PPO/HMO/WC $58.50
Service Code HCPCS 86965
Hospital Charge Code 3100519
Hospital Revenue Code 300
Min. Negotiated Rate $11.08
Max. Negotiated Rate $734.21
Rate for Payer: Aetna Commercial $550.53
Rate for Payer: Aetna Medicare Advantage $655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $734.21
Rate for Payer: Cigna Commercial $405.73
Rate for Payer: Cigna Medicare Advantage $202.40
Rate for Payer: Clover Medicare Advantage $192.28
Rate for Payer: EmblemHealth Commercial $607.20
Rate for Payer: Humana Medicare Advantage $208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $101.40
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $58.50
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $25.00
Rate for Payer: UnitedHealthcare Medicare Advantage $202.40
Rate for Payer: Wellcare Medicare Advantage $202.40
Rate for Payer: Wellpoint Medicaid Managed Care $11.08
Service Code HCPCS 86965
Hospital Charge Code 38471081
Hospital Revenue Code 309
Min. Negotiated Rate $4.23
Max. Negotiated Rate $734.21
Rate for Payer: Aetna Commercial $550.53
Rate for Payer: Aetna Medicare Advantage $655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $734.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $734.21
Rate for Payer: Cigna Commercial $405.73
Rate for Payer: Cigna Medicare Advantage $202.40
Rate for Payer: Clover Medicare Advantage $192.28
Rate for Payer: EmblemHealth Commercial $607.20
Rate for Payer: Humana Medicare Advantage $208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $38.74
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $22.35
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $25.00
Rate for Payer: UnitedHealthcare Medicare Advantage $202.40
Rate for Payer: Wellcare Medicare Advantage $202.40
Rate for Payer: Wellpoint Medicaid Managed Care $4.23
Service Code HCPCS 86965
Hospital Charge Code 38471081
Hospital Revenue Code 309
Min. Negotiated Rate $22.35
Max. Negotiated Rate $22.35
Rate for Payer: Qualcare PPO/HMO/WC $22.35
Service Code NDC 10122051003
Hospital Charge Code 6063943233
Hospital Revenue Code 250
Min. Negotiated Rate $269.68
Max. Negotiated Rate $4,747.95
Rate for Payer: Aetna Commercial $3,608.45
Rate for Payer: Aetna Medicare Advantage $2,848.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $2,421.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $2,421.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $2,421.46
Rate for Payer: Cigna Commercial $4,747.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2,468.94
Rate for Payer: Oxford Commercial $1,899.18
Rate for Payer: Qualcare PPO/HMO/WC $1,424.39
Rate for Payer: UnitedHealthcare Commercial $1,899.18
Rate for Payer: UnitedHealthcare Community & State $300.07
Rate for Payer: Wellpoint Medicaid Managed Care $269.68
Service Code NDC 10122051003
Hospital Charge Code 6063943233
Hospital Revenue Code 250
Min. Negotiated Rate $1,424.39
Max. Negotiated Rate $1,424.39
Rate for Payer: Qualcare PPO/HMO/WC $1,424.39
Service Code HCPCS C1713
Hospital Charge Code 270704666
Hospital Revenue Code 278
Min. Negotiated Rate $568.00
Max. Negotiated Rate $10,000.00
Rate for Payer: Aetna Commercial $7,600.00
Rate for Payer: Aetna Medicare Advantage $6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $5,100.00
Rate for Payer: Cigna Commercial $10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,840.00
Rate for Payer: Qualcare PPO/HMO/WC $3,000.00
Rate for Payer: UnitedHealthcare Community & State $632.00
Rate for Payer: Wellpoint Medicaid Managed Care $568.00
Service Code HCPCS C1713
Hospital Charge Code 270704666
Hospital Revenue Code 278
Min. Negotiated Rate $3,000.00
Max. Negotiated Rate $4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $4,840.00
Rate for Payer: Qualcare PPO/HMO/WC $3,000.00
Service Code HCPCS C1776
Hospital Charge Code 270673873
Hospital Revenue Code 278
Min. Negotiated Rate $1,773.00
Max. Negotiated Rate $2,860.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $2,364.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2,860.44
Rate for Payer: Qualcare PPO/HMO/WC $1,773.00
Service Code HCPCS C1776
Hospital Charge Code 270673873
Hospital Revenue Code 278
Min. Negotiated Rate $335.69
Max. Negotiated Rate $5,910.00
Rate for Payer: Aetna Commercial $4,491.60
Rate for Payer: Aetna Medicare Advantage $3,546.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $3,014.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $3,014.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $2,364.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $3,014.10
Rate for Payer: Cigna Commercial $5,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $2,860.44
Rate for Payer: Qualcare PPO/HMO/WC $1,773.00
Rate for Payer: UnitedHealthcare Community & State $373.51
Rate for Payer: Wellpoint Medicaid Managed Care $335.69
Service Code HCPCS 84110
Hospital Charge Code 38479121
Hospital Revenue Code 301
Min. Negotiated Rate $12.75
Max. Negotiated Rate $12.75
Rate for Payer: Qualcare PPO/HMO/WC $12.75
Service Code HCPCS 84110
Hospital Charge Code 38479121
Hospital Revenue Code 301
Min. Negotiated Rate $2.41
Max. Negotiated Rate $156.00
Rate for Payer: Aetna Commercial $22.96
Rate for Payer: Aetna Medicare Advantage $27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $8.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $30.62
Rate for Payer: Cigna Commercial $42.50
Rate for Payer: Cigna Medicare Advantage $8.44
Rate for Payer: Clover Medicare Advantage $8.02
Rate for Payer: EmblemHealth Commercial $25.32
Rate for Payer: Humana Medicare Advantage $8.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $8.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $22.10
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $12.75
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $6.75
Rate for Payer: UnitedHealthcare Medicare Advantage $8.44
Rate for Payer: Wellcare Medicare Advantage $8.44
Rate for Payer: Wellpoint Medicaid Managed Care $2.41
Service Code HCPCS 84106
Hospital Charge Code 38472545
Hospital Revenue Code 301
Min. Negotiated Rate $12.75
Max. Negotiated Rate $12.75
Rate for Payer: Qualcare PPO/HMO/WC $12.75
Service Code HCPCS 84106
Hospital Charge Code 38472545
Hospital Revenue Code 301
Min. Negotiated Rate $2.41
Max. Negotiated Rate $156.00
Rate for Payer: Aetna Commercial $15.83
Rate for Payer: Aetna Medicare Advantage $18.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $21.11
Rate for Payer: Cigna Commercial $42.50
Rate for Payer: Cigna Medicare Advantage $5.82
Rate for Payer: Clover Medicare Advantage $5.53
Rate for Payer: EmblemHealth Commercial $17.46
Rate for Payer: Humana Medicare Advantage $5.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $5.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $22.10
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $12.75
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $4.66
Rate for Payer: UnitedHealthcare Medicare Advantage $5.82
Rate for Payer: Wellcare Medicare Advantage $5.82
Rate for Payer: Wellpoint Medicaid Managed Care $2.41
Service Code HCPCS 84106
Hospital Charge Code 39990017A
Hospital Revenue Code 301
Min. Negotiated Rate $4.41
Max. Negotiated Rate $4.41
Rate for Payer: Qualcare PPO/HMO/WC $4.41
Service Code HCPCS 84106
Hospital Charge Code 39990017A
Hospital Revenue Code 301
Min. Negotiated Rate $0.83
Max. Negotiated Rate $156.00
Rate for Payer: Aetna Commercial $15.83
Rate for Payer: Aetna Medicare Advantage $18.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $21.11
Rate for Payer: Cigna Commercial $14.70
Rate for Payer: Cigna Medicare Advantage $5.82
Rate for Payer: Clover Medicare Advantage $5.53
Rate for Payer: EmblemHealth Commercial $17.46
Rate for Payer: Humana Medicare Advantage $5.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $5.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $7.64
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $4.41
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $4.66
Rate for Payer: UnitedHealthcare Medicare Advantage $5.82
Rate for Payer: Wellcare Medicare Advantage $5.82
Rate for Payer: Wellpoint Medicaid Managed Care $0.83
Service Code HCPCS 84110
Hospital Charge Code 39990017B
Hospital Revenue Code 301
Min. Negotiated Rate $8.70
Max. Negotiated Rate $8.70
Rate for Payer: Qualcare PPO/HMO/WC $8.70
Service Code HCPCS 84110
Hospital Charge Code 39990017B
Hospital Revenue Code 301
Min. Negotiated Rate $1.65
Max. Negotiated Rate $156.00
Rate for Payer: Aetna Commercial $22.96
Rate for Payer: Aetna Medicare Advantage $27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $8.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $30.62
Rate for Payer: Cigna Commercial $29.00
Rate for Payer: Cigna Medicare Advantage $8.44
Rate for Payer: Clover Medicare Advantage $8.02
Rate for Payer: EmblemHealth Commercial $25.32
Rate for Payer: Humana Medicare Advantage $8.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $8.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $15.08
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $8.70
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $6.75
Rate for Payer: UnitedHealthcare Medicare Advantage $8.44
Rate for Payer: Wellcare Medicare Advantage $8.44
Rate for Payer: Wellpoint Medicaid Managed Care $1.65
Service Code HCPCS 84106
Hospital Charge Code 38477028
Hospital Revenue Code 301
Min. Negotiated Rate $4.50
Max. Negotiated Rate $4.50
Rate for Payer: Qualcare PPO/HMO/WC $4.50
Service Code HCPCS 84106
Hospital Charge Code 38477028
Hospital Revenue Code 301
Min. Negotiated Rate $0.85
Max. Negotiated Rate $156.00
Rate for Payer: Aetna Commercial $15.83
Rate for Payer: Aetna Medicare Advantage $18.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $21.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $21.11
Rate for Payer: Cigna Commercial $15.00
Rate for Payer: Cigna Medicare Advantage $5.82
Rate for Payer: Clover Medicare Advantage $5.53
Rate for Payer: EmblemHealth Commercial $17.46
Rate for Payer: Humana Medicare Advantage $5.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $5.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $7.80
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $4.50
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $4.66
Rate for Payer: UnitedHealthcare Medicare Advantage $5.82
Rate for Payer: Wellcare Medicare Advantage $5.82
Rate for Payer: Wellpoint Medicaid Managed Care $0.85
Service Code HCPCS 84120
Hospital Charge Code 397080010A
Hospital Revenue Code 301
Min. Negotiated Rate $11.08
Max. Negotiated Rate $195.00
Rate for Payer: Aetna Commercial $40.01
Rate for Payer: Aetna Medicare Advantage $47.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity $53.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care $53.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage $14.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health $12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO $53.36
Rate for Payer: Cigna Commercial $195.00
Rate for Payer: Cigna Medicare Advantage $14.71
Rate for Payer: Clover Medicare Advantage $13.97
Rate for Payer: EmblemHealth Commercial $44.13
Rate for Payer: Humana Medicare Advantage $15.15
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage $14.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC $101.40
Rate for Payer: Oxford Commercial $156.00
Rate for Payer: Qualcare PPO/HMO/WC $58.50
Rate for Payer: UnitedHealthcare Commercial $156.00
Rate for Payer: UnitedHealthcare Community & State $11.77
Rate for Payer: UnitedHealthcare Medicare Advantage $14.71
Rate for Payer: Wellcare Medicare Advantage $14.71
Rate for Payer: Wellpoint Medicaid Managed Care $11.08