|
STENT PERIPHERAL 5.5X40MM 6FR
|
Facility
|
IP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270669063A
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,162.50 |
| Max. Negotiated Rate |
$1,875.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
|
|
STENT PERIPHERAL 5.5X40MM 6FR
|
Facility
|
IP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270669063
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,162.50 |
| Max. Negotiated Rate |
$1,875.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
|
|
STENT PERIPHERAL 5.5X40MM 6FR
|
Facility
|
OP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270669063A
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$220.10 |
| Max. Negotiated Rate |
$3,875.00 |
| Rate for Payer: Aetna Commercial |
$2,945.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,325.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,976.25
|
| Rate for Payer: Cigna Commercial |
$3,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$244.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$220.10
|
|
|
STENT PERIPHERAL 5.5X40MM 6FR
|
Facility
|
OP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270669063
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$220.10 |
| Max. Negotiated Rate |
$3,875.00 |
| Rate for Payer: Aetna Commercial |
$2,945.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,325.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,976.25
|
| Rate for Payer: Cigna Commercial |
$3,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$244.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$220.10
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
IP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,162.50 |
| Max. Negotiated Rate |
$1,875.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
OP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$220.10 |
| Max. Negotiated Rate |
$3,875.00 |
| Rate for Payer: Aetna Commercial |
$2,945.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,325.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,976.25
|
| Rate for Payer: Cigna Commercial |
$3,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$244.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$220.10
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
OP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890A
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$220.10 |
| Max. Negotiated Rate |
$3,875.00 |
| Rate for Payer: Aetna Commercial |
$2,945.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,325.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,976.25
|
| Rate for Payer: Cigna Commercial |
$3,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$244.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$220.10
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
IP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,162.50 |
| Max. Negotiated Rate |
$1,875.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
OP
|
$8,805.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$250.06 |
| Max. Negotiated Rate |
$4,402.50 |
| Rate for Payer: Aetna Commercial |
$3,345.90
|
| Rate for Payer: Aetna Medicare Advantage |
$2,641.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,245.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,245.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,245.28
|
| Rate for Payer: Cigna Commercial |
$4,402.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,289.30
|
| Rate for Payer: Oxford Commercial |
$1,761.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,320.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,761.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$278.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$250.06
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
IP
|
$8,805.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,320.75 |
| Max. Negotiated Rate |
$1,320.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,320.75
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
OP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$220.10 |
| Max. Negotiated Rate |
$3,875.00 |
| Rate for Payer: Aetna Commercial |
$2,945.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,325.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,976.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,976.25
|
| Rate for Payer: Cigna Commercial |
$3,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$244.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$220.10
|
|
|
STENT PERIPHERAL 5.5x80MM 6FR
|
Facility
|
IP
|
$7,750.00
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270668890A
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,162.50 |
| Max. Negotiated Rate |
$1,875.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,550.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,875.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,162.50
|
|
|
STENT PERIPHERAL 5x100x120 6F
|
Facility
|
OP
|
$8,805.00
|
|
| Hospital Charge Code |
270705281
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$250.06 |
| Max. Negotiated Rate |
$4,402.50 |
| Rate for Payer: Aetna Commercial |
$3,345.90
|
| Rate for Payer: Aetna Medicare Advantage |
$2,641.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,245.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,245.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,245.28
|
| Rate for Payer: Cigna Commercial |
$4,402.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,289.30
|
| Rate for Payer: Oxford Commercial |
$1,761.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,320.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,761.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$278.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$250.06
|
|
|
STENT PERIPHERAL 5x100x120 6F
|
Facility
|
IP
|
$8,805.00
|
|
| Hospital Charge Code |
270705281
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,320.75 |
| Max. Negotiated Rate |
$1,320.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,320.75
|
|
|
STENTP EVERFLX6FR BL 7X30X120
|
Facility
|
OP
|
$6,975.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270644086S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$198.09 |
| Max. Negotiated Rate |
$3,487.50 |
| Rate for Payer: Aetna Commercial |
$2,650.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,092.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,778.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,778.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,395.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,778.62
|
| Rate for Payer: Cigna Commercial |
$3,487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,687.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,046.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$220.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$198.09
|
|
|
STENTP EVERFLX6FR BL 7X30X120
|
Facility
|
IP
|
$4,500.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270644086
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$675.00 |
| Max. Negotiated Rate |
$1,089.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$900.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,089.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$675.00
|
|
|
STENTP EVERFLX6FR BL 7X30X120
|
Facility
|
OP
|
$4,500.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270644086
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$127.80 |
| Max. Negotiated Rate |
$2,250.00 |
| Rate for Payer: Aetna Commercial |
$1,710.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,350.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,147.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,147.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,147.50
|
| Rate for Payer: Cigna Commercial |
$2,250.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,089.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$675.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$142.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$127.80
|
|
|
STENTP EVERFLX6FR BL 7X30X120
|
Facility
|
IP
|
$6,975.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270644086S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,046.25 |
| Max. Negotiated Rate |
$1,687.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,395.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,687.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,046.25
|
|
|
STENTP EVERFLX6FR BL 8X120X120
|
Facility
|
OP
|
$8,350.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270635523
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$237.14 |
| Max. Negotiated Rate |
$4,175.00 |
| Rate for Payer: Aetna Commercial |
$3,173.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,505.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,129.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,129.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,670.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,129.25
|
| Rate for Payer: Cigna Commercial |
$4,175.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,020.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,252.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$263.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$237.14
|
|
|
STENTP EVERFLX6FR BL 8X120X120
|
Facility
|
IP
|
$8,350.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270635523
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,252.50 |
| Max. Negotiated Rate |
$2,020.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,670.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,020.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,252.50
|
|
|
STENTP EVERFLX6FR BL 8X120X120
|
Facility
|
OP
|
$1,695.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270635523S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$847.50 |
| Rate for Payer: Aetna Commercial |
$644.10
|
| Rate for Payer: Aetna Medicare Advantage |
$508.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$432.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$432.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$339.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$432.23
|
| Rate for Payer: Cigna Commercial |
$847.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$410.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$254.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$53.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48.14
|
|
|
STENTP EVERFLX6FR BL 8X120X120
|
Facility
|
IP
|
$1,695.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270635523S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$254.25 |
| Max. Negotiated Rate |
$410.19 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$339.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$410.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$254.25
|
|
|
STENTP EVERFLX6FR BL 8X120X120
|
Facility
|
IP
|
$1,695.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270635523N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$254.25 |
| Max. Negotiated Rate |
$410.19 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$339.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$410.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$254.25
|
|
|
STENTP EVERFLX6FR BL 8X120X120
|
Facility
|
OP
|
$1,695.00
|
|
|
Service Code
|
HCPCS C2617
|
| Hospital Charge Code |
270635523N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$847.50 |
| Rate for Payer: Aetna Commercial |
$644.10
|
| Rate for Payer: Aetna Medicare Advantage |
$508.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$432.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$432.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$339.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$432.23
|
| Rate for Payer: Cigna Commercial |
$847.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$410.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$254.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$53.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48.14
|
|
|
STENTP EVERFLX6FR BL 8X60X120
|
Facility
|
OP
|
$6,624.80
|
|
|
Service Code
|
HCPCS C1876
|
| Hospital Charge Code |
270635763
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.14 |
| Max. Negotiated Rate |
$3,312.40 |
| Rate for Payer: Aetna Commercial |
$2,517.42
|
| Rate for Payer: Aetna Medicare Advantage |
$1,987.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,689.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,689.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,324.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,689.32
|
| Rate for Payer: Cigna Commercial |
$3,312.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,603.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$993.72
|
| Rate for Payer: UnitedHealthcare Community & State |
$209.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$188.14
|
|
