|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
321037242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
5700316
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
366837242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
1600000864
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
366837242
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,628.80 |
| Max. Negotiated Rate |
$79,001.40 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| 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 |
$79,001.40
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,911.54
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,812.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,628.80
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
5700316
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,628.80 |
| Max. Negotiated Rate |
$79,001.40 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| 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 |
$79,001.40
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,911.54
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,812.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,628.80
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
4110935100
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,628.80 |
| Max. Negotiated Rate |
$79,001.40 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,213.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$79,001.40
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,911.54
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,812.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,628.80
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$52,513.90
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
7411530
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,491.39 |
| Max. Negotiated Rate |
$79,001.40 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| 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 |
$79,001.40
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13,653.61
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,877.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,659.44
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,491.39
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
IP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
741100108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,602.81 |
| Max. Negotiated Rate |
$8,602.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
|
|
VASC EMBOLIZE/OCCLUDE ARTERY
|
Facility
|
OP
|
$57,352.09
|
|
|
Service Code
|
HCPCS 37242
|
| Hospital Charge Code |
741100108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,628.80 |
| Max. Negotiated Rate |
$79,001.40 |
| Rate for Payer: Aetna Commercial |
$59,237.44
|
| Rate for Payer: Aetna Medicare Advantage |
$70,562.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$79,001.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$21,778.47
|
| 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 |
$79,001.40
|
| Rate for Payer: Cigna Commercial |
$43,654.87
|
| Rate for Payer: Cigna Medicare Advantage |
$21,778.47
|
| Rate for Payer: Clover Medicare Advantage |
$20,689.55
|
| Rate for Payer: EmblemHealth Commercial |
$65,335.41
|
| Rate for Payer: Humana Medicare Advantage |
$22,431.82
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$21,778.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,911.54
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,602.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,812.33
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellcare Medicare Advantage |
$21,778.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,628.80
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
321037243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,493.14 |
| Max. Negotiated Rate |
$8,493.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
5700317
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,493.14 |
| Max. Negotiated Rate |
$8,493.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
321037243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,789.22 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,721.45
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,789.22
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
366837243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,660.54 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13,662.64
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,660.54
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
411037243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,882.29 |
| Max. Negotiated Rate |
$7,882.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
411037243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,660.54 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13,662.64
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,660.54
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
OP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
5700317
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,789.22 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,721.45
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,789.22
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE ORGAN
|
Facility
|
IP
|
$52,548.60
|
|
|
Service Code
|
HCPCS 37243
|
| Hospital Charge Code |
366837243
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,882.29 |
| Max. Negotiated Rate |
$7,882.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,882.29
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
OP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
411037241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,792.55 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,748.86
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,792.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
IP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
411037241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,508.96 |
| Max. Negotiated Rate |
$8,508.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
IP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
366837241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,508.96 |
| Max. Negotiated Rate |
$8,508.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
|
|
VASC EMBOLIZE/OCCLUDE VENOUS
|
Facility
|
OP
|
$56,726.40
|
|
|
Service Code
|
HCPCS 37241
|
| Hospital Charge Code |
366837241
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,792.55 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14,748.86
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,508.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,792.55
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
|
VASCU EMBO OR OCCLU
|
Facility
|
IP
|
$52,513.90
|
|
|
Service Code
|
HCPCS 37244
|
| Hospital Charge Code |
7411534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$7,877.09 |
| Max. Negotiated Rate |
$7,877.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,877.09
|
|
|
VASCU EMBO OR OCCLU
|
Facility
|
IP
|
$56,620.95
|
|
|
Service Code
|
HCPCS 37244
|
| Hospital Charge Code |
5701100
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,493.14 |
| Max. Negotiated Rate |
$8,493.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8,493.14
|
|
|
VASCU EMBO OR OCCLU
|
Facility
|
OP
|
$52,513.90
|
|
|
Service Code
|
HCPCS 37244
|
| Hospital Charge Code |
7411534
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,659.44 |
| Max. Negotiated Rate |
$49,750.44 |
| Rate for Payer: Aetna Commercial |
$37,304.26
|
| Rate for Payer: Aetna Medicare Advantage |
$44,435.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49,750.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13,714.80
|
| 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 |
$49,750.44
|
| Rate for Payer: Cigna Commercial |
$27,491.26
|
| Rate for Payer: Cigna Medicare Advantage |
$13,714.80
|
| Rate for Payer: Clover Medicare Advantage |
$13,029.06
|
| Rate for Payer: EmblemHealth Commercial |
$41,144.40
|
| Rate for Payer: Humana Medicare Advantage |
$14,126.24
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13,714.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13,653.61
|
| Rate for Payer: Oxford Commercial |
$14,968.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7,877.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$16,639.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1,659.44
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare Medicare Advantage |
$13,714.80
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$24,278.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23,802.30
|
|
