|
CREATINE,24HR URINE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900066
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CREATINE,24HR URINE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900066
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.71 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$12.62
|
| Rate for Payer: Aetna Medicare Advantage |
$15.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$4.64
|
| Rate for Payer: Clover Medicare Advantage |
$4.41
|
| Rate for Payer: EmblemHealth Commercial |
$13.92
|
| Rate for Payer: Humana Medicare Advantage |
$4.78
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4.64
|
| 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 |
$3.71
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4.64
|
| Rate for Payer: Wellcare Medicare Advantage |
$4.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
CREATINE KINASE (CK)
|
Facility
|
OP
|
$667.31
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
3000916
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.21 |
| Max. Negotiated Rate |
$333.65 |
| Rate for Payer: Aetna Commercial |
$17.71
|
| Rate for Payer: Aetna Medicare Advantage |
$21.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.62
|
| Rate for Payer: Cigna Commercial |
$333.65
|
| Rate for Payer: Cigna Medicare Advantage |
$6.51
|
| Rate for Payer: Clover Medicare Advantage |
$6.18
|
| Rate for Payer: EmblemHealth Commercial |
$19.53
|
| Rate for Payer: Humana Medicare Advantage |
$6.71
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$6.51
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$173.50
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.21
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.51
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.95
|
|
|
CREATINE KINASE (CK)
|
Facility
|
IP
|
$667.31
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
3000916
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$100.10 |
| Max. Negotiated Rate |
$100.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.10
|
|
|
CREATINE KINASE (CK/CPK)
|
Facility
|
OP
|
$291.20
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
38472242
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.21 |
| Max. Negotiated Rate |
$156.00 |
| Rate for Payer: Aetna Commercial |
$17.71
|
| Rate for Payer: Aetna Medicare Advantage |
$21.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$6.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.62
|
| Rate for Payer: Cigna Commercial |
$145.60
|
| Rate for Payer: Cigna Medicare Advantage |
$6.51
|
| Rate for Payer: Clover Medicare Advantage |
$6.18
|
| Rate for Payer: EmblemHealth Commercial |
$19.53
|
| Rate for Payer: Humana Medicare Advantage |
$6.71
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$6.51
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$75.71
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.21
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$6.51
|
| Rate for Payer: Wellcare Medicare Advantage |
$6.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.27
|
|
|
CREATINE KINASE (CK/CPK)
|
Facility
|
IP
|
$291.20
|
|
|
Service Code
|
HCPCS 82550
|
| Hospital Charge Code |
38472242
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.68 |
| Max. Negotiated Rate |
$43.68 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.68
|
|
|
CREATINE KINASE (CK) ISOFORMS
|
Facility
|
OP
|
$667.59
|
|
|
Service Code
|
HCPCS 82554
|
| Hospital Charge Code |
3032490
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.50 |
| Max. Negotiated Rate |
$333.80 |
| Rate for Payer: Aetna Commercial |
$32.29
|
| Rate for Payer: Aetna Medicare Advantage |
$38.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$29.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43.06
|
| Rate for Payer: Cigna Commercial |
$333.80
|
| Rate for Payer: Cigna Medicare Advantage |
$11.87
|
| Rate for Payer: Clover Medicare Advantage |
$11.28
|
| Rate for Payer: EmblemHealth Commercial |
$35.61
|
| Rate for Payer: Humana Medicare Advantage |
$12.23
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$11.87
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$173.57
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.50
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11.87
|
| Rate for Payer: Wellcare Medicare Advantage |
$11.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.96
|
|
|
CREATINE KINASE (CK) ISOFORMS
|
Facility
|
IP
|
$667.59
|
|
|
Service Code
|
HCPCS 82554
|
| Hospital Charge Code |
3032490
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$100.14 |
| Max. Negotiated Rate |
$100.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
|
|
CREATINE KINASE-MB (CK-MB)
|
Facility
|
IP
|
$240.00
|
|
|
Service Code
|
HCPCS 82553
|
| Hospital Charge Code |
38472245
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
CREATINE KINASE-MB (CK-MB)
|
Facility
|
OP
|
$240.00
|
|
|
Service Code
|
HCPCS 82553
|
| Hospital Charge Code |
38472245
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$156.00 |
| Rate for Payer: Aetna Commercial |
$31.42
|
| Rate for Payer: Aetna Medicare Advantage |
$37.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$41.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$41.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11.55
|
| 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 |
$41.90
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: Cigna Medicare Advantage |
$11.55
|
| Rate for Payer: Clover Medicare Advantage |
$10.97
|
| Rate for Payer: EmblemHealth Commercial |
$34.65
|
| Rate for Payer: Humana Medicare Advantage |
$11.90
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$11.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.24
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11.55
|
| Rate for Payer: Wellcare Medicare Advantage |
$11.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
CREATINE,SERUM
|
Facility
|
IP
|
$31.85
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900067
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.78 |
| Max. Negotiated Rate |
$4.78 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.78
|
|
|
CREATINE,SERUM
|
Facility
|
OP
|
$31.85
|
|
|
Service Code
|
HCPCS 82540
|
| Hospital Charge Code |
39900067
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$156.00 |
| Rate for Payer: Aetna Commercial |
$12.62
|
| Rate for Payer: Aetna Medicare Advantage |
$15.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$4.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$15.93
|
| Rate for Payer: Cigna Medicare Advantage |
$4.64
|
| Rate for Payer: Clover Medicare Advantage |
$4.41
|
| Rate for Payer: EmblemHealth Commercial |
$13.92
|
| Rate for Payer: Humana Medicare Advantage |
$4.78
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$4.64
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.28
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.78
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.71
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$4.64
|
| Rate for Payer: Wellcare Medicare Advantage |
$4.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.90
|
|
|
CREATINE,UR RANDOM
|
Facility
|
IP
|
$107.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
38479033
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$16.05 |
| Max. Negotiated Rate |
$16.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.05
|
|
|
CREATINE,UR RANDOM
|
Facility
|
OP
|
$107.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
38479033
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.04 |
| Max. Negotiated Rate |
$156.00 |
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Medicare Advantage |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.79
|
| Rate for Payer: Cigna Commercial |
$53.50
|
| Rate for Payer: Cigna Medicare Advantage |
$5.18
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$27.82
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.14
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.04
|
|
|
CREATININE CLEARANCE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82575
|
| Hospital Charge Code |
3000973
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$25.73
|
| Rate for Payer: Aetna Medicare Advantage |
$30.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$34.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$34.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$9.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$34.32
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$9.46
|
| Rate for Payer: Clover Medicare Advantage |
$8.99
|
| Rate for Payer: EmblemHealth Commercial |
$28.38
|
| Rate for Payer: Humana Medicare Advantage |
$9.74
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$9.46
|
| 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 |
$7.57
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$9.46
|
| Rate for Payer: Wellcare Medicare Advantage |
$9.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
CREATININE CLEARANCE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82575
|
| Hospital Charge Code |
3000973
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CREATININE, CLEARANCE
|
Facility
|
OP
|
$445.00
|
|
|
Service Code
|
HCPCS 82575
|
| Hospital Charge Code |
38472239
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$222.50 |
| Rate for Payer: Aetna Commercial |
$25.73
|
| Rate for Payer: Aetna Medicare Advantage |
$30.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$34.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$34.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$9.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$7.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$34.32
|
| Rate for Payer: Cigna Commercial |
$222.50
|
| Rate for Payer: Cigna Medicare Advantage |
$9.46
|
| Rate for Payer: Clover Medicare Advantage |
$8.99
|
| Rate for Payer: EmblemHealth Commercial |
$28.38
|
| Rate for Payer: Humana Medicare Advantage |
$9.74
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$9.46
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$115.70
|
| Rate for Payer: Oxford Commercial |
$156.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$156.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.57
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$9.46
|
| Rate for Payer: Wellcare Medicare Advantage |
$9.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.64
|
|
|
CREATININE, CLEARANCE
|
Facility
|
IP
|
$445.00
|
|
|
Service Code
|
HCPCS 82575
|
| Hospital Charge Code |
38472239
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
|
|
CREATININE KINASE ISOENZYMES
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82552
|
| Hospital Charge Code |
401182552
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.71 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$36.42
|
| Rate for Payer: Aetna Medicare Advantage |
$43.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$48.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$48.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$13.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$12.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$48.57
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$13.39
|
| Rate for Payer: Clover Medicare Advantage |
$12.72
|
| Rate for Payer: EmblemHealth Commercial |
$40.17
|
| Rate for Payer: Humana Medicare Advantage |
$13.79
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$13.39
|
| 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 |
$10.71
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$13.39
|
| Rate for Payer: Wellcare Medicare Advantage |
$13.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
CREATININE KINASE ISOENZYMES
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82552
|
| Hospital Charge Code |
401182552
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CREATININE OTHER SOURCE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
401182570
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CREATININE OTHER SOURCE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
401182570
|
|
Hospital Revenue Code
|
306
|
| Min. Negotiated Rate |
$4.14 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Medicare Advantage |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.79
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.18
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.18
|
| 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 |
$4.14
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
CREATININE OTHER SOURCE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
39990241D
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.14 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Medicare Advantage |
$16.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.79
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: Cigna Medicare Advantage |
$5.18
|
| Rate for Payer: Clover Medicare Advantage |
$4.92
|
| Rate for Payer: EmblemHealth Commercial |
$15.54
|
| Rate for Payer: Humana Medicare Advantage |
$5.34
|
| Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage |
$5.18
|
| 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 |
$4.14
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
CREATININE OTHER SOURCE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
39990241D
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
CREATININE OTH SOURCE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 82570
|
| Hospital Charge Code |
3038548B
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
