|
REMOVAL OF TESTIS
|
Facility
|
IP
|
$16,624.12
|
|
|
Service Code
|
HCPCS 54530
|
| Hospital Charge Code |
160000212
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,493.62 |
| Max. Negotiated Rate |
$2,493.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,493.62
|
|
|
REMOVAL OF TESTIS
|
Facility
|
OP
|
$16,624.12
|
|
|
Service Code
|
HCPCS 54530
|
| Hospital Charge Code |
160000212
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$472.13 |
| Max. Negotiated Rate |
$15,429.97 |
| Rate for Payer: Aetna Commercial |
$11,569.82
|
| Rate for Payer: Aetna Medicare Advantage |
$13,781.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15,429.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15,429.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4,253.61
|
| 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 |
$15,429.97
|
| Rate for Payer: Cigna Commercial |
$8,526.35
|
| Rate for Payer: Cigna Medicare Advantage |
$4,253.61
|
| Rate for Payer: Clover Medicare Advantage |
$4,040.93
|
| Rate for Payer: EmblemHealth Commercial |
$12,760.83
|
| Rate for Payer: Humana Medicare Advantage |
$4,381.22
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4,253.61
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,322.27
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,493.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$525.32
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4,253.61
|
| Rate for Payer: Wellcare Medicare Advantage |
$4,253.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$472.13
|
|
|
REMOVAL OF THYROID
|
Facility
|
OP
|
$27,866.56
|
|
|
Service Code
|
HCPCS 60271
|
| Hospital Charge Code |
1600000457
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$791.41 |
| Max. Negotiated Rate |
$25,511.88 |
| Rate for Payer: Aetna Commercial |
$19,129.52
|
| Rate for Payer: Aetna Medicare Advantage |
$22,786.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25,511.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25,511.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$7,032.91
|
| 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 |
$25,511.88
|
| Rate for Payer: Cigna Commercial |
$14,097.46
|
| Rate for Payer: Cigna Medicare Advantage |
$7,032.91
|
| Rate for Payer: Clover Medicare Advantage |
$6,681.26
|
| Rate for Payer: EmblemHealth Commercial |
$21,098.73
|
| Rate for Payer: Humana Medicare Advantage |
$7,243.90
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$7,032.91
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7,245.31
|
| Rate for Payer: Oxford Commercial |
$11,677.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,179.98
|
| Rate for Payer: UnitedHealthcare Commercial |
$12,906.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$880.58
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$7,032.91
|
| Rate for Payer: Wellcare Medicare Advantage |
$7,032.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$791.41
|
|
|
REMOVAL OF THYROID
|
Facility
|
IP
|
$27,866.56
|
|
|
Service Code
|
HCPCS 60271
|
| Hospital Charge Code |
1600000457
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,179.98 |
| Max. Negotiated Rate |
$4,179.98 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,179.98
|
|
|
REMOVAL OF TOE LESIONS-T5
|
Facility
|
IP
|
$20,900.00
|
|
|
Service Code
|
HCPCS 28092
|
| Hospital Charge Code |
16000719
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,135.00 |
| Max. Negotiated Rate |
$3,135.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,135.00
|
|
|
REMOVAL OF TOE LESIONS-T5
|
Facility
|
OP
|
$20,900.00
|
|
|
Service Code
|
HCPCS 28092
|
| Hospital Charge Code |
16000719
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$593.56 |
| Max. Negotiated Rate |
$8,192.00 |
| 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 |
$5,434.00
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,135.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$660.44
|
| 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 |
$593.56
|
|
|
REMOVAL OF TOE LESIONS-T9
|
Facility
|
IP
|
$20,900.00
|
|
|
Service Code
|
HCPCS 28108
|
| Hospital Charge Code |
16000401
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$3,135.00 |
| Max. Negotiated Rate |
$3,135.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,135.00
|
|
|
REMOVAL OF TOE LESIONS-T9
|
Facility
|
OP
|
$20,900.00
|
|
|
Service Code
|
HCPCS 28108
|
| Hospital Charge Code |
16000401
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$593.56 |
| Max. Negotiated Rate |
$8,192.00 |
| 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 |
$5,434.00
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,135.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$660.44
|
| 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 |
$593.56
|
|
|
REMOVAL OF UPPER JAW
|
Facility
|
OP
|
$15,638.00
|
|
|
Service Code
|
HCPCS 31225
|
| Hospital Charge Code |
1600000663
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$444.12 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$5,942.44
|
| Rate for Payer: Aetna Medicare Advantage |
$4,691.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,987.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,987.69
|
| 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 |
$3,987.69
|
| Rate for Payer: Cigna Commercial |
$7,819.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,065.88
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,345.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$494.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$444.12
|
|
|
REMOVAL OF UPPER JAW
|
Facility
|
IP
|
$15,638.00
|
|
|
Service Code
|
HCPCS 31225
|
| Hospital Charge Code |
1600000663
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,345.70 |
| Max. Negotiated Rate |
$2,345.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,345.70
|
|
|
REMOVAL OF URETER
|
Facility
|
OP
|
$11,332.50
|
|
|
Service Code
|
HCPCS 50660
|
| Hospital Charge Code |
1600000387
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$321.84 |
| Max. Negotiated Rate |
$10,269.00 |
| Rate for Payer: Aetna Commercial |
$4,306.35
|
| Rate for Payer: Aetna Medicare Advantage |
$3,399.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,889.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,889.79
|
| 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 |
$2,889.79
|
| Rate for Payer: Cigna Commercial |
$5,666.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,946.45
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,699.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$358.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$321.84
|
|
|
REMOVAL OF URETER
|
Facility
|
IP
|
$11,332.50
|
|
|
Service Code
|
HCPCS 50660
|
| Hospital Charge Code |
1600000387
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,699.88 |
| Max. Negotiated Rate |
$1,699.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,699.88
|
|
|
REMOVAL OF WRIST BONE
|
Facility
|
OP
|
$12,289.64
|
|
|
Service Code
|
HCPCS 25210
|
| Hospital Charge Code |
16000472
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$349.03 |
| Max. Negotiated Rate |
$14,100.89 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| 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 |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,195.31
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,843.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$388.35
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$349.03
|
|
|
REMOVAL OF WRIST BONE
|
Facility
|
IP
|
$12,289.64
|
|
|
Service Code
|
HCPCS 25210
|
| Hospital Charge Code |
16000472
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,843.45 |
| Max. Negotiated Rate |
$1,843.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,843.45
|
|
|
REMOVAL OF WRIST LESION
|
Facility
|
IP
|
$12,406.91
|
|
|
Service Code
|
HCPCS 25130
|
| Hospital Charge Code |
16000830
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,861.04 |
| Max. Negotiated Rate |
$1,861.04 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,861.04
|
|
|
REMOVAL OF WRIST LESION
|
Facility
|
OP
|
$12,406.91
|
|
|
Service Code
|
HCPCS 25130
|
| Hospital Charge Code |
16000830
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$352.36 |
| Max. Negotiated Rate |
$14,100.89 |
| Rate for Payer: Aetna Commercial |
$10,573.24
|
| Rate for Payer: Aetna Medicare Advantage |
$12,594.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14,100.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,887.22
|
| 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 |
$14,100.89
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,887.22
|
| Rate for Payer: Clover Medicare Advantage |
$3,692.86
|
| Rate for Payer: EmblemHealth Commercial |
$11,661.66
|
| Rate for Payer: Humana Medicare Advantage |
$4,003.84
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,887.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,225.80
|
| Rate for Payer: Oxford Commercial |
$9,354.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,861.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$10,269.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$392.06
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,887.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$352.36
|
|
|
REMOVAL SKIN TAGS EA AD 10 CM
|
Facility
|
OP
|
$372.00
|
|
|
Service Code
|
HCPCS 11201
|
| Hospital Charge Code |
75190040
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$186.00 |
| Rate for Payer: Aetna Commercial |
$141.36
|
| Rate for Payer: Aetna Medicare Advantage |
$111.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$9.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.86
|
| Rate for Payer: Cigna Commercial |
$186.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$96.72
|
| Rate for Payer: Oxford Commercial |
$74.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$74.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.56
|
|
|
REMOVAL SKIN TAGS EA AD 10 CM
|
Facility
|
IP
|
$372.00
|
|
|
Service Code
|
HCPCS 11201
|
| Hospital Charge Code |
75190040
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$55.80 |
| Max. Negotiated Rate |
$55.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.80
|
|
|
REMOVAL SWEAT GLAND LESION
|
Facility
|
OP
|
$12,396.92
|
|
|
Service Code
|
HCPCS 11451
|
| Hospital Charge Code |
16000435
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$352.07 |
| Max. Negotiated Rate |
$12,518.07 |
| Rate for Payer: Aetna Commercial |
$9,386.39
|
| Rate for Payer: Aetna Medicare Advantage |
$11,180.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12,518.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12,518.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,450.88
|
| 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 |
$12,518.07
|
| Rate for Payer: Cigna Commercial |
$6,917.28
|
| Rate for Payer: Cigna Medicare Advantage |
$3,450.88
|
| Rate for Payer: Clover Medicare Advantage |
$3,278.34
|
| Rate for Payer: EmblemHealth Commercial |
$10,352.64
|
| Rate for Payer: Humana Medicare Advantage |
$3,554.41
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,450.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,223.20
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,859.54
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$391.74
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,450.88
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,450.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$352.07
|
|
|
REMOVAL SWEAT GLAND LESION
|
Facility
|
IP
|
$12,396.92
|
|
|
Service Code
|
HCPCS 11451
|
| Hospital Charge Code |
16000435
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,859.54 |
| Max. Negotiated Rate |
$1,859.54 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,859.54
|
|
|
REMOVAL WINGUEST NAIL
|
Facility
|
OP
|
$9,250.00
|
|
| Hospital Charge Code |
270688295
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$262.70 |
| Max. Negotiated Rate |
$4,625.00 |
| Rate for Payer: Aetna Commercial |
$3,515.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,775.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,358.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,358.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,358.75
|
| Rate for Payer: Cigna Commercial |
$4,625.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,405.00
|
| Rate for Payer: Oxford Commercial |
$1,850.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,387.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,850.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$292.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$262.70
|
|
|
REMOVAL WINGUEST NAIL
|
Facility
|
IP
|
$9,250.00
|
|
| Hospital Charge Code |
270688295
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,387.50 |
| Max. Negotiated Rate |
$1,387.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,387.50
|
|
|
REMOVE ANAL FIST COMPLEX
|
Facility
|
IP
|
$12,918.40
|
|
|
Service Code
|
HCPCS 46280
|
| Hospital Charge Code |
1600000548
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,937.76 |
| Max. Negotiated Rate |
$1,937.76 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,937.76
|
|
|
REMOVE ANAL FIST COMPLEX
|
Facility
|
OP
|
$12,918.40
|
|
|
Service Code
|
HCPCS 46280
|
| Hospital Charge Code |
1600000548
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$366.88 |
| Max. Negotiated Rate |
$11,961.90 |
| Rate for Payer: Aetna Commercial |
$8,969.36
|
| Rate for Payer: Aetna Medicare Advantage |
$10,684.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11,961.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11,961.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,297.56
|
| 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 |
$11,961.90
|
| Rate for Payer: Cigna Commercial |
$6,609.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,297.56
|
| Rate for Payer: Clover Medicare Advantage |
$3,132.68
|
| Rate for Payer: EmblemHealth Commercial |
$9,892.68
|
| Rate for Payer: Humana Medicare Advantage |
$3,396.49
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,297.56
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,358.78
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,937.76
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$408.22
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,297.56
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,297.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$366.88
|
|
|
REMOVE ANAL FIST INTER
|
Facility
|
OP
|
$22,676.60
|
|
|
Service Code
|
HCPCS 46275
|
| Hospital Charge Code |
1600000508
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$644.02 |
| Max. Negotiated Rate |
$11,961.90 |
| Rate for Payer: Aetna Commercial |
$8,969.36
|
| Rate for Payer: Aetna Medicare Advantage |
$10,684.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11,961.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11,961.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$3,297.56
|
| 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 |
$11,961.90
|
| Rate for Payer: Cigna Commercial |
$6,609.93
|
| Rate for Payer: Cigna Medicare Advantage |
$3,297.56
|
| Rate for Payer: Clover Medicare Advantage |
$3,132.68
|
| Rate for Payer: EmblemHealth Commercial |
$9,892.68
|
| Rate for Payer: Humana Medicare Advantage |
$3,396.49
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$3,297.56
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,895.92
|
| Rate for Payer: Oxford Commercial |
$7,525.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,401.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$8,192.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$716.58
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$3,297.56
|
| Rate for Payer: Wellcare Medicare Advantage |
$3,297.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$644.02
|
|
