|
ANCHOR ATK 381040
|
Facility
|
OP
|
$442.45
|
|
| Hospital Charge Code |
270609650
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.66 |
| Max. Negotiated Rate |
$221.22 |
| Rate for Payer: Aetna Commercial |
$168.13
|
| Rate for Payer: Aetna Medicare Advantage |
$132.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$112.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$112.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$88.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$112.82
|
| Rate for Payer: Cigna Commercial |
$221.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.07
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$97.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.72
|
|
|
ANCHOR ATK 381040
|
Facility
|
IP
|
$442.45
|
|
| Hospital Charge Code |
270609650
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$66.37 |
| Max. Negotiated Rate |
$107.07 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$88.49
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.07
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$97.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.37
|
|
|
ANCHOR ATX SUTURE 3.0 AR-1324B
|
Facility
|
OP
|
$1,416.00
|
|
| Hospital Charge Code |
270623034
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$34.13 |
| Max. Negotiated Rate |
$708.00 |
| Rate for Payer: Aetna Commercial |
$538.08
|
| Rate for Payer: Aetna Medicare Advantage |
$424.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$361.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$361.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$283.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$361.08
|
| Rate for Payer: Cigna Commercial |
$708.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$342.67
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$311.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$212.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.52
|
|
|
ANCHOR ATX SUTURE 3.0 AR-1324B
|
Facility
|
IP
|
$1,416.00
|
|
| Hospital Charge Code |
270623034
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$212.40 |
| Max. Negotiated Rate |
$342.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$283.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$342.67
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$311.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$212.40
|
|
|
ANCHOR ATX SUTURE 3.0 AR-1934B
|
Facility
|
IP
|
$1,112.25
|
|
| Hospital Charge Code |
270627513
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$166.84 |
| Max. Negotiated Rate |
$269.16 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$222.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$269.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$244.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$166.84
|
|
|
ANCHOR ATX SUTURE 3.0 AR-1934B
|
Facility
|
OP
|
$1,112.25
|
|
| Hospital Charge Code |
270627513
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$26.81 |
| Max. Negotiated Rate |
$556.12 |
| Rate for Payer: Aetna Commercial |
$422.65
|
| Rate for Payer: Aetna Medicare Advantage |
$333.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$283.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$283.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$222.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$283.62
|
| Rate for Payer: Cigna Commercial |
$556.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$269.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$244.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$166.84
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$29.47
|
|
|
ANCHOR ATX SUTURE 3.0 AR1934BF
|
Facility
|
IP
|
$1,575.00
|
|
| Hospital Charge Code |
270629672
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$236.25 |
| Max. Negotiated Rate |
$381.15 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$315.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$381.15
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$346.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$236.25
|
|
|
ANCHOR ATX SUTURE 3.0 AR1934BF
|
Facility
|
OP
|
$1,575.00
|
|
| Hospital Charge Code |
270629672
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$37.96 |
| Max. Negotiated Rate |
$787.50 |
| Rate for Payer: Aetna Commercial |
$598.50
|
| Rate for Payer: Aetna Medicare Advantage |
$472.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$401.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$401.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$315.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$401.62
|
| Rate for Payer: Cigna Commercial |
$787.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$381.15
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$346.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$236.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$37.96
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$41.74
|
|
|
ANCHOR ATX SUTURE 5.0 AR1920BN
|
Facility
|
OP
|
$1,264.85
|
|
| Hospital Charge Code |
270625525
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$30.48 |
| Max. Negotiated Rate |
$632.42 |
| Rate for Payer: Aetna Commercial |
$480.64
|
| Rate for Payer: Aetna Medicare Advantage |
$379.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$322.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$322.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$252.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$322.54
|
| Rate for Payer: Cigna Commercial |
$632.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$306.09
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$278.27
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$189.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.52
|
|
|
ANCHOR ATX SUTURE 5.0 AR1920BN
|
Facility
|
IP
|
$1,264.85
|
|
| Hospital Charge Code |
270625525
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$189.73 |
| Max. Negotiated Rate |
$306.09 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$252.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$306.09
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$278.27
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$189.73
|
|
|
ANCHOR BIOSUTURE TAK 3x14
|
Facility
|
IP
|
$1,625.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270656468
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$393.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$325.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$393.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$357.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
ANCHOR BIOSUTURE TAK 3x14
|
Facility
|
OP
|
$1,625.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270656468
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$39.16 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$617.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$325.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$393.25
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$357.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$39.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$43.06
|
|
|
ANCHOR BIO SUT W/#2 AR-1934BFT
|
Facility
|
OP
|
$1,661.65
|
|
| Hospital Charge Code |
270635388
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$40.05 |
| Max. Negotiated Rate |
$830.83 |
| Rate for Payer: Aetna Commercial |
$631.43
|
| Rate for Payer: Aetna Medicare Advantage |
$498.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$423.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$423.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$332.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$423.72
|
| Rate for Payer: Cigna Commercial |
$830.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$402.12
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$365.56
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$249.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$40.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$44.03
|
|
|
ANCHOR BIO SUT W/#2 AR-1934BFT
|
Facility
|
IP
|
$1,661.65
|
|
| Hospital Charge Code |
270635388
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$249.25 |
| Max. Negotiated Rate |
$402.12 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$332.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$402.12
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$365.56
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$249.25
|
|
|
ANCHOR CERVICAL MEDIUM AIS-C
|
Facility
|
OP
|
$5,000.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
270697996
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$120.50 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Aetna Commercial |
$1,900.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,500.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,275.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,275.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,000.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,275.00
|
| Rate for Payer: Cigna Commercial |
$2,500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,210.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$750.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$120.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$132.50
|
|
|
ANCHOR CERVICAL MEDIUM AIS-C
|
Facility
|
IP
|
$5,000.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
270697996
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$750.00 |
| Max. Negotiated Rate |
$1,210.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,210.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$750.00
|
|
|
ANCHOR CINCH 1194
|
Facility
|
OP
|
$635.00
|
|
| Hospital Charge Code |
270642324
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.30 |
| Max. Negotiated Rate |
$317.50 |
| Rate for Payer: Aetna Commercial |
$241.30
|
| Rate for Payer: Aetna Medicare Advantage |
$190.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$161.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$161.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$161.93
|
| Rate for Payer: Cigna Commercial |
$317.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$190.50
|
| Rate for Payer: Oxford Commercial |
$127.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$95.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$127.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.83
|
|
|
ANCHOR CINCH 1194
|
Facility
|
IP
|
$635.00
|
|
| Hospital Charge Code |
270642324
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$95.25 |
| Max. Negotiated Rate |
$95.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$95.25
|
|
|
ANCHOR COALITION MIS 11MM
|
Facility
|
OP
|
$3,020.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
270694204
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$72.78 |
| Max. Negotiated Rate |
$1,510.00 |
| Rate for Payer: Aetna Commercial |
$1,147.60
|
| Rate for Payer: Aetna Medicare Advantage |
$906.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$770.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$770.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$604.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$770.10
|
| Rate for Payer: Cigna Commercial |
$1,510.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$730.84
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$664.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$453.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$72.78
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$80.03
|
|
|
ANCHOR COALITION MIS 11MM
|
Facility
|
IP
|
$3,020.00
|
|
|
Service Code
|
HCPCS C1889
|
| Hospital Charge Code |
270694204
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$453.00 |
| Max. Negotiated Rate |
$730.84 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$604.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$730.84
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$664.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$453.00
|
|
|
ANCHOR COALITION MIS 13MM
|
Facility
|
IP
|
$3,020.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270695185
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$453.00 |
| Max. Negotiated Rate |
$730.84 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$604.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$730.84
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$664.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$453.00
|
|
|
ANCHOR COALITION MIS 13MM
|
Facility
|
OP
|
$3,020.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270695185
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$72.78 |
| Max. Negotiated Rate |
$1,510.00 |
| Rate for Payer: Aetna Commercial |
$1,147.60
|
| Rate for Payer: Aetna Medicare Advantage |
$906.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$770.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$770.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$604.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$770.10
|
| Rate for Payer: Cigna Commercial |
$1,510.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$730.84
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$664.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$453.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$72.78
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$80.03
|
|
|
ANCHOR CORKSCREW 5.5x15mm 2/#2
|
Facility
|
OP
|
$2,100.00
|
|
| Hospital Charge Code |
270641352
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$50.61 |
| Max. Negotiated Rate |
$1,050.00 |
| Rate for Payer: Aetna Commercial |
$798.00
|
| Rate for Payer: Aetna Medicare Advantage |
$630.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$535.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$535.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$420.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$535.50
|
| Rate for Payer: Cigna Commercial |
$1,050.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$508.20
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$462.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$315.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$50.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$55.65
|
|
|
ANCHOR CORKSCREW 5.5x15mm 2/#2
|
Facility
|
IP
|
$2,100.00
|
|
| Hospital Charge Code |
270641352
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$315.00 |
| Max. Negotiated Rate |
$508.20 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$420.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$508.20
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$462.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$315.00
|
|
|
ANCHOR CRKSCW 5MM TTNM AR1920S
|
Facility
|
OP
|
$1,268.00
|
|
| Hospital Charge Code |
270611972
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$30.56 |
| Max. Negotiated Rate |
$634.00 |
| Rate for Payer: Aetna Commercial |
$481.84
|
| Rate for Payer: Aetna Medicare Advantage |
$380.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$323.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$323.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$323.34
|
| Rate for Payer: Cigna Commercial |
$634.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$306.86
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$278.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$190.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.60
|
|