|
INTRODUCER 8mm
|
Facility
|
OP
|
$729.15
|
|
| Hospital Charge Code |
270679219
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.57 |
| Max. Negotiated Rate |
$364.57 |
| Rate for Payer: Aetna Commercial |
$277.08
|
| Rate for Payer: Aetna Medicare Advantage |
$218.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$185.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$185.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$185.93
|
| Rate for Payer: Cigna Commercial |
$364.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$218.75
|
| Rate for Payer: Oxford Commercial |
$145.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.37
|
| Rate for Payer: UnitedHealthcare Commercial |
$145.83
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.32
|
|
|
INTRODUCER 8mm
|
Facility
|
IP
|
$729.15
|
|
| Hospital Charge Code |
270679219
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$109.37 |
| Max. Negotiated Rate |
$109.37 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.37
|
|
|
INTRODUCER ACCUSTICK J-TIP.038
|
Facility
|
IP
|
$418.50
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270601332S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$62.77 |
| Max. Negotiated Rate |
$101.28 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$83.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$101.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$92.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.77
|
|
|
INTRODUCER ACCUSTICK J-TIP.038
|
Facility
|
OP
|
$466.25
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270601332N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.24 |
| Max. Negotiated Rate |
$233.12 |
| Rate for Payer: Aetna Commercial |
$177.18
|
| Rate for Payer: Aetna Medicare Advantage |
$139.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$118.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$118.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$93.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$118.89
|
| Rate for Payer: Cigna Commercial |
$233.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.83
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$102.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.94
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.36
|
|
|
INTRODUCER ACCUSTICK J-TIP.038
|
Facility
|
IP
|
$475.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270601332
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$71.25 |
| Max. Negotiated Rate |
$114.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$95.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.95
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$104.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$71.25
|
|
|
INTRODUCER ACCUSTICK J-TIP.038
|
Facility
|
IP
|
$466.25
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270601332N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$69.94 |
| Max. Negotiated Rate |
$112.83 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$93.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.83
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$102.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.94
|
|
|
INTRODUCER ACCUSTICK J-TIP.038
|
Facility
|
OP
|
$418.50
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270601332S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.09 |
| Max. Negotiated Rate |
$209.25 |
| Rate for Payer: Aetna Commercial |
$159.03
|
| Rate for Payer: Aetna Medicare Advantage |
$125.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$106.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$106.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$83.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$106.72
|
| Rate for Payer: Cigna Commercial |
$209.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$101.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$92.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.09
|
|
|
INTRODUCER ACCUSTICK J-TIP.038
|
Facility
|
OP
|
$475.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270601332
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.45 |
| Max. Negotiated Rate |
$237.50 |
| Rate for Payer: Aetna Commercial |
$180.50
|
| Rate for Payer: Aetna Medicare Advantage |
$142.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$121.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$121.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$95.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$121.12
|
| Rate for Payer: Cigna Commercial |
$237.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.95
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$104.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$71.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.59
|
|
|
INTRODUCER AIRGUARD 15 FR X 13
|
Facility
|
OP
|
$470.40
|
|
| Hospital Charge Code |
270683300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.34 |
| Max. Negotiated Rate |
$235.20 |
| Rate for Payer: Aetna Commercial |
$178.75
|
| Rate for Payer: Aetna Medicare Advantage |
$141.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$119.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$119.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$119.95
|
| Rate for Payer: Cigna Commercial |
$235.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$141.12
|
| Rate for Payer: Oxford Commercial |
$94.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$94.08
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.47
|
|
|
INTRODUCER AIRGUARD 15 FR X 13
|
Facility
|
IP
|
$470.40
|
|
| Hospital Charge Code |
270683300
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$70.56 |
| Max. Negotiated Rate |
$70.56 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.56
|
|
|
INTRODUCER AVANTI 7FR 504607V
|
Facility
|
IP
|
$52.15
|
|
| Hospital Charge Code |
270632887
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.82 |
| Max. Negotiated Rate |
$7.82 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.82
|
|
|
INTRODUCER AVANTI 7FR 504607V
|
Facility
|
OP
|
$52.15
|
|
| Hospital Charge Code |
270632887
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.26 |
| Max. Negotiated Rate |
$26.07 |
| Rate for Payer: Aetna Commercial |
$19.82
|
| Rate for Payer: Aetna Medicare Advantage |
$15.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.30
|
| Rate for Payer: Cigna Commercial |
$26.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.64
|
| Rate for Payer: Oxford Commercial |
$10.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.82
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.43
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.26
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.38
|
|
|
INTRODUCER BALKIN 6FR 239085
|
Facility
|
OP
|
$197.65
|
|
| Hospital Charge Code |
270629611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.76 |
| Max. Negotiated Rate |
$98.83 |
| Rate for Payer: Aetna Commercial |
$75.11
|
| Rate for Payer: Aetna Medicare Advantage |
$59.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$50.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$50.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$50.40
|
| Rate for Payer: Cigna Commercial |
$98.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$59.30
|
| Rate for Payer: Oxford Commercial |
$39.53
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$39.53
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.24
|
|
|
INTRODUCER BALKIN 6FR 239085
|
Facility
|
IP
|
$197.65
|
|
| Hospital Charge Code |
270629611
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$29.65 |
| Max. Negotiated Rate |
$29.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.65
|
|
|
INTRODUCER BALKIN CHEK-FLO 6FR
|
Facility
|
OP
|
$375.00
|
|
|
Service Code
|
HCPCS C1892
|
| Hospital Charge Code |
270629378
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9.04 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$142.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$75.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.75
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.94
|
|
|
INTRODUCER BALKIN CHEK-FLO 6FR
|
Facility
|
IP
|
$375.00
|
|
|
Service Code
|
HCPCS C1892
|
| Hospital Charge Code |
270629378
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$90.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$75.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.75
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
INTRODUCER BALKIN CHEK-FLO 7FR
|
Facility
|
IP
|
$251.50
|
|
|
Service Code
|
HCPCS C1892
|
| Hospital Charge Code |
270626900
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$37.73 |
| Max. Negotiated Rate |
$60.86 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$50.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$60.86
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$55.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.73
|
|
|
INTRODUCER BALKIN CHEK-FLO 7FR
|
Facility
|
OP
|
$251.50
|
|
|
Service Code
|
HCPCS C1892
|
| Hospital Charge Code |
270626900
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6.06 |
| Max. Negotiated Rate |
$125.75 |
| Rate for Payer: Aetna Commercial |
$95.57
|
| Rate for Payer: Aetna Medicare Advantage |
$75.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$64.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$64.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$50.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$64.13
|
| Rate for Payer: Cigna Commercial |
$125.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$60.86
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$55.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.66
|
|
|
INTRODUCER BALKIN CHEK-FLO 8FR
|
Facility
|
IP
|
$251.50
|
|
| Hospital Charge Code |
270624721
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.73 |
| Max. Negotiated Rate |
$37.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.73
|
|
|
INTRODUCER BALKIN CHEK-FLO 8FR
|
Facility
|
OP
|
$251.50
|
|
| Hospital Charge Code |
270624721
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.06 |
| Max. Negotiated Rate |
$125.75 |
| Rate for Payer: Aetna Commercial |
$95.57
|
| Rate for Payer: Aetna Medicare Advantage |
$75.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$64.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$64.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$64.13
|
| Rate for Payer: Cigna Commercial |
$125.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$75.45
|
| Rate for Payer: Oxford Commercial |
$50.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$50.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.66
|
|
|
INTRODUCER CATH 4F 10CM SS
|
Facility
|
OP
|
$275.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270699119
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$104.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.50
|
| Rate for Payer: Oxford Commercial |
$55.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$55.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.29
|
|
|
INTRODUCER CATH 4F 10CM SS
|
Facility
|
IP
|
$275.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270699119
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
INTRODUCER CATHETER 7FR 13CM
|
Facility
|
IP
|
$292.50
|
|
| Hospital Charge Code |
270647006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.88 |
| Max. Negotiated Rate |
$43.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.88
|
|
|
INTRODUCER CATHETER 7FR 13CM
|
Facility
|
OP
|
$292.50
|
|
| Hospital Charge Code |
270647006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.05 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Aetna Commercial |
$111.15
|
| Rate for Payer: Aetna Medicare Advantage |
$87.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$74.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$74.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$74.59
|
| Rate for Payer: Cigna Commercial |
$146.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.75
|
| Rate for Payer: Oxford Commercial |
$58.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$58.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.75
|
|
|
INTRODUCER CATH STER SGU 6999
|
Facility
|
IP
|
$4.75
|
|
| Hospital Charge Code |
270616776
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.71 |
| Max. Negotiated Rate |
$0.71 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.71
|
|