|
LOCKING SCREW 2.4X24MM
|
Facility
|
IP
|
$1,146.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270704718
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$171.99 |
| Max. Negotiated Rate |
$277.48 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$229.32
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$277.48
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$252.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$171.99
|
|
|
LOCKING SCREW 2.4X24MM
|
Facility
|
OP
|
$1,146.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270704718
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.63 |
| Max. Negotiated Rate |
$573.30 |
| Rate for Payer: Aetna Commercial |
$435.71
|
| Rate for Payer: Aetna Medicare Advantage |
$343.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$292.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$292.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$229.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$292.38
|
| Rate for Payer: Cigna Commercial |
$573.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$277.48
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$252.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$171.99
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$30.38
|
|
|
LOCKING SCREW 2.5 X 20 MM
|
Facility
|
IP
|
$893.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270701811
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.06 |
| Max. Negotiated Rate |
$216.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$178.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$216.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$196.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$134.06
|
|
|
LOCKING SCREW 2.5 X 20 MM
|
Facility
|
OP
|
$893.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270701811
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$21.54 |
| Max. Negotiated Rate |
$446.88 |
| Rate for Payer: Aetna Commercial |
$339.62
|
| Rate for Payer: Aetna Medicare Advantage |
$268.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$227.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$227.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$178.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$227.91
|
| Rate for Payer: Cigna Commercial |
$446.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$216.29
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$196.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$134.06
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.68
|
|
|
LOCKING SCREW 2.7 X 12
|
Facility
|
IP
|
$950.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270684673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$229.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$190.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$229.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$209.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
|
|
LOCKING SCREW 2.7 X 12
|
Facility
|
OP
|
$950.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270684673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$22.89 |
| Max. Negotiated Rate |
$475.00 |
| Rate for Payer: Aetna Commercial |
$361.00
|
| Rate for Payer: Aetna Medicare Advantage |
$285.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$190.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$242.25
|
| Rate for Payer: Cigna Commercial |
$475.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$229.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$209.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$22.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.18
|
|
|
LOCKING SCREW 2.7 X 14
|
Facility
|
OP
|
$950.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270684672
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$22.89 |
| Max. Negotiated Rate |
$475.00 |
| Rate for Payer: Aetna Commercial |
$361.00
|
| Rate for Payer: Aetna Medicare Advantage |
$285.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$190.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$242.25
|
| Rate for Payer: Cigna Commercial |
$475.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$229.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$209.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$22.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.18
|
|
|
LOCKING SCREW 2.7 X 14
|
Facility
|
IP
|
$950.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270684672
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$229.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$190.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$229.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$209.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
|
|
LOCKING SCREW 2.7X24MM
|
Facility
|
IP
|
$1,256.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679462
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.44 |
| Max. Negotiated Rate |
$304.01 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$251.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$304.01
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$276.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$188.44
|
|
|
LOCKING SCREW 2.7X24MM
|
Facility
|
OP
|
$1,256.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679462
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$30.28 |
| Max. Negotiated Rate |
$628.12 |
| Rate for Payer: Aetna Commercial |
$477.38
|
| Rate for Payer: Aetna Medicare Advantage |
$376.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$320.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$320.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$251.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$320.34
|
| Rate for Payer: Cigna Commercial |
$628.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$304.01
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$276.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$188.44
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.29
|
|
|
LOCKING SCREW 3.7X12MM
|
Facility
|
IP
|
$1,256.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679463
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.44 |
| Max. Negotiated Rate |
$304.01 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$251.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$304.01
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$276.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$188.44
|
|
|
LOCKING SCREW 3.7X12MM
|
Facility
|
OP
|
$1,256.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679463
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$30.28 |
| Max. Negotiated Rate |
$628.12 |
| Rate for Payer: Aetna Commercial |
$477.38
|
| Rate for Payer: Aetna Medicare Advantage |
$376.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$320.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$320.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$251.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$320.34
|
| Rate for Payer: Cigna Commercial |
$628.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$304.01
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$276.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$188.44
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.29
|
|
|
LOCKING SCREW 5.0 X 26 MM
|
Facility
|
IP
|
$965.85
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687881
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.88 |
| Max. Negotiated Rate |
$233.74 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$193.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$233.74
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$212.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.88
|
|
|
LOCKING SCREW 5.0 X 26 MM
|
Facility
|
OP
|
$965.85
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687881
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$23.28 |
| Max. Negotiated Rate |
$482.93 |
| Rate for Payer: Aetna Commercial |
$367.02
|
| Rate for Payer: Aetna Medicare Advantage |
$289.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$246.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$246.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$193.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$246.29
|
| Rate for Payer: Cigna Commercial |
$482.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$233.74
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$212.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.88
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.60
|
|
|
LOCKING SCREW 5 X 50MM
|
Facility
|
IP
|
$2,450.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270704117
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$367.50 |
| Max. Negotiated Rate |
$592.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$490.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$592.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$539.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$367.50
|
|
|
LOCKING SCREW 5 X 50MM
|
Facility
|
OP
|
$2,450.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270704117
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$59.05 |
| Max. Negotiated Rate |
$1,225.00 |
| Rate for Payer: Aetna Commercial |
$931.00
|
| Rate for Payer: Aetna Medicare Advantage |
$735.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$624.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$624.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$490.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$624.75
|
| Rate for Payer: Cigna Commercial |
$1,225.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$592.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$539.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$367.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$59.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.92
|
|
|
LOCKING SCREW 5X60MM
|
Facility
|
IP
|
$1,621.95
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270705859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$243.29 |
| Max. Negotiated Rate |
$392.51 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$324.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$392.51
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$356.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.29
|
|
|
LOCKING SCREW 5X60MM
|
Facility
|
OP
|
$1,621.95
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270705859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$39.09 |
| Max. Negotiated Rate |
$810.98 |
| Rate for Payer: Aetna Commercial |
$616.34
|
| Rate for Payer: Aetna Medicare Advantage |
$486.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$413.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$413.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$324.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$413.60
|
| Rate for Payer: Cigna Commercial |
$810.98
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$392.51
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$356.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$39.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$42.98
|
|
|
LOCKING SCREW 5X75MM
|
Facility
|
OP
|
$1,621.95
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270705860
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$39.09 |
| Max. Negotiated Rate |
$810.98 |
| Rate for Payer: Aetna Commercial |
$616.34
|
| Rate for Payer: Aetna Medicare Advantage |
$486.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$413.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$413.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$324.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$413.60
|
| Rate for Payer: Cigna Commercial |
$810.98
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$392.51
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$356.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$39.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$42.98
|
|
|
LOCKING SCREW 5X75MM
|
Facility
|
IP
|
$1,621.95
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270705860
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$243.29 |
| Max. Negotiated Rate |
$392.51 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$324.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$392.51
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$356.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.29
|
|
|
LOCKING SCREW 6.0 X 64 MM
|
Facility
|
OP
|
$965.85
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687879
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$23.28 |
| Max. Negotiated Rate |
$482.93 |
| Rate for Payer: Aetna Commercial |
$367.02
|
| Rate for Payer: Aetna Medicare Advantage |
$289.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$246.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$246.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$193.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$246.29
|
| Rate for Payer: Cigna Commercial |
$482.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$233.74
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$212.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.88
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.60
|
|
|
LOCKING SCREW 6.0 X 64 MM
|
Facility
|
IP
|
$965.85
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687879
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.88 |
| Max. Negotiated Rate |
$233.74 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$193.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$233.74
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$212.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.88
|
|
|
LOCKING SCREW 6.0 X 68 MM
|
Facility
|
OP
|
$965.85
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687880
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$23.28 |
| Max. Negotiated Rate |
$482.93 |
| Rate for Payer: Aetna Commercial |
$367.02
|
| Rate for Payer: Aetna Medicare Advantage |
$289.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$246.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$246.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$193.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$246.29
|
| Rate for Payer: Cigna Commercial |
$482.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$233.74
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$212.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.88
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.60
|
|
|
LOCKING SCREW 6.0 X 68 MM
|
Facility
|
IP
|
$965.85
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687880
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.88 |
| Max. Negotiated Rate |
$233.74 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$193.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$233.74
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$212.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.88
|
|
|
LOCKING SCREW 6.0 X 76MM
|
Facility
|
IP
|
$965.85
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687878
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.88 |
| Max. Negotiated Rate |
$233.74 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$193.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$233.74
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$212.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.88
|
|