|
NAIL BMT UX TIB 10 34 33344334
|
Facility
|
IP
|
$3,113.65
|
|
| Hospital Charge Code |
270623820
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$467.05 |
| Max. Negotiated Rate |
$753.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$622.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$753.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$685.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$467.05
|
|
|
NAIL BMT UX TIB 10 34 33344334
|
Facility
|
OP
|
$3,113.65
|
|
| Hospital Charge Code |
270623820
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$75.04 |
| Max. Negotiated Rate |
$1,556.83 |
| Rate for Payer: Aetna Commercial |
$1,183.19
|
| Rate for Payer: Aetna Medicare Advantage |
$934.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$793.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$793.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$622.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$793.98
|
| Rate for Payer: Cigna Commercial |
$1,556.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$753.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$685.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$467.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$75.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$82.51
|
|
|
NAIL BMT UX TIB 11 32 33344332
|
Facility
|
IP
|
$3,112.85
|
|
| Hospital Charge Code |
270623819
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$466.93 |
| Max. Negotiated Rate |
$753.31 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$622.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$753.31
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$684.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$466.93
|
|
|
NAIL BMT UX TIB 11 32 33344332
|
Facility
|
OP
|
$3,112.85
|
|
| Hospital Charge Code |
270623819
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$75.02 |
| Max. Negotiated Rate |
$1,556.42 |
| Rate for Payer: Aetna Commercial |
$1,182.88
|
| Rate for Payer: Aetna Medicare Advantage |
$933.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$793.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$793.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$622.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$793.78
|
| Rate for Payer: Cigna Commercial |
$1,556.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$753.31
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$684.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$466.93
|
| Rate for Payer: UnitedHealthcare Community & State |
$75.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$82.49
|
|
|
NAIL BMT UX TIB 13 40 33344540
|
Facility
|
IP
|
$3,555.25
|
|
| Hospital Charge Code |
270613716
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$533.29 |
| Max. Negotiated Rate |
$860.37 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$711.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$860.37
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$782.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$533.29
|
|
|
NAIL BMT UX TIB 13 40 33344540
|
Facility
|
OP
|
$3,555.25
|
|
| Hospital Charge Code |
270613716
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$85.68 |
| Max. Negotiated Rate |
$1,777.62 |
| Rate for Payer: Aetna Commercial |
$1,350.99
|
| Rate for Payer: Aetna Medicare Advantage |
$1,066.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$906.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$906.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$711.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$906.59
|
| Rate for Payer: Cigna Commercial |
$1,777.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$860.37
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$782.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$533.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$85.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$94.21
|
|
|
NAIL BMT UX TIB 33344126
|
Facility
|
IP
|
$2,928.00
|
|
| Hospital Charge Code |
270609855
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$439.20 |
| Max. Negotiated Rate |
$708.58 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$585.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$708.58
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$644.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$439.20
|
|
|
NAIL BMT UX TIB 33344126
|
Facility
|
OP
|
$2,928.00
|
|
| Hospital Charge Code |
270609855
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$70.56 |
| Max. Negotiated Rate |
$1,464.00 |
| Rate for Payer: Aetna Commercial |
$1,112.64
|
| Rate for Payer: Aetna Medicare Advantage |
$878.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$746.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$746.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$585.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$746.64
|
| Rate for Payer: Cigna Commercial |
$1,464.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$708.58
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$644.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$439.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$70.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$77.59
|
|
|
NAIL BNX CONTR LABRAL 52350A
|
Facility
|
OP
|
$1,342.45
|
|
| Hospital Charge Code |
270620667
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$32.35 |
| Max. Negotiated Rate |
$671.23 |
| Rate for Payer: Aetna Commercial |
$510.13
|
| Rate for Payer: Aetna Medicare Advantage |
$402.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$342.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$342.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$268.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$342.32
|
| Rate for Payer: Cigna Commercial |
$671.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$324.87
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$295.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$201.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$32.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35.57
|
|
|
NAIL BNX CONTR LABRAL 52350A
|
Facility
|
IP
|
$1,342.45
|
|
| Hospital Charge Code |
270620667
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$201.37 |
| Max. Negotiated Rate |
$324.87 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$268.49
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$324.87
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$295.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$201.37
|
|
|
NAIL CANN PROX HUM 7.0x150mm
|
Facility
|
OP
|
$7,605.00
|
|
| Hospital Charge Code |
270662823
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$183.28 |
| Max. Negotiated Rate |
$3,802.50 |
| Rate for Payer: Aetna Commercial |
$2,889.90
|
| Rate for Payer: Aetna Medicare Advantage |
$2,281.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,939.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,939.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,521.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,939.28
|
| Rate for Payer: Cigna Commercial |
$3,802.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,840.41
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,673.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,140.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$183.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$201.53
|
|
|
NAIL CANN PROX HUM 7.0x150mm
|
Facility
|
IP
|
$7,605.00
|
|
| Hospital Charge Code |
270662823
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,140.75 |
| Max. Negotiated Rate |
$1,840.41 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,521.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,840.41
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,673.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,140.75
|
|
|
NAIL CAP ANTE FEM Z NAIL
|
Facility
|
IP
|
$1,195.00
|
|
| Hospital Charge Code |
270658859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$179.25 |
| Max. Negotiated Rate |
$289.19 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$239.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$289.19
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$262.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$179.25
|
|
|
NAIL CAP ANTE FEM Z NAIL
|
Facility
|
OP
|
$1,195.00
|
|
| Hospital Charge Code |
270658859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$28.80 |
| Max. Negotiated Rate |
$597.50 |
| Rate for Payer: Aetna Commercial |
$454.10
|
| Rate for Payer: Aetna Medicare Advantage |
$358.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$304.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$304.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$239.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$304.73
|
| Rate for Payer: Cigna Commercial |
$597.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$289.19
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$262.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$179.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$28.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$31.67
|
|
|
NAIL ELASTIC TI 4.0MM 440MM
|
Facility
|
OP
|
$1,656.00
|
|
| Hospital Charge Code |
270667308
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$39.91 |
| Max. Negotiated Rate |
$828.00 |
| Rate for Payer: Aetna Commercial |
$629.28
|
| Rate for Payer: Aetna Medicare Advantage |
$496.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$422.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$422.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$331.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$422.28
|
| Rate for Payer: Cigna Commercial |
$828.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$400.75
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$364.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$39.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$43.88
|
|
|
NAIL ELASTIC TI 4.0MM 440MM
|
Facility
|
IP
|
$1,656.00
|
|
| Hospital Charge Code |
270667308
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$248.40 |
| Max. Negotiated Rate |
$400.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$331.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$400.75
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$364.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.40
|
|
|
NAIL- EX 9MM TI HUMERAL
|
Facility
|
OP
|
$7,836.00
|
|
| Hospital Charge Code |
270660909
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.85 |
| Max. Negotiated Rate |
$3,918.00 |
| Rate for Payer: Aetna Commercial |
$2,977.68
|
| Rate for Payer: Aetna Medicare Advantage |
$2,350.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,998.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,998.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,567.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,998.18
|
| Rate for Payer: Cigna Commercial |
$3,918.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,896.31
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,723.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,175.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$188.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$207.65
|
|
|
NAIL- EX 9MM TI HUMERAL
|
Facility
|
IP
|
$7,836.00
|
|
| Hospital Charge Code |
270660909
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,175.40 |
| Max. Negotiated Rate |
$1,896.31 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,567.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,896.31
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,723.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,175.40
|
|
|
NAIL EXTRACTOR TAP
|
Facility
|
IP
|
$4,720.00
|
|
| Hospital Charge Code |
270672052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$708.00 |
| Max. Negotiated Rate |
$708.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$708.00
|
|
|
NAIL EXTRACTOR TAP
|
Facility
|
OP
|
$4,720.00
|
|
| Hospital Charge Code |
270672052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$113.75 |
| Max. Negotiated Rate |
$2,360.00 |
| Rate for Payer: Aetna Commercial |
$1,793.60
|
| Rate for Payer: Aetna Medicare Advantage |
$1,416.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,203.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,203.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,203.60
|
| Rate for Payer: Cigna Commercial |
$2,360.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,416.00
|
| Rate for Payer: Oxford Commercial |
$944.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$708.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$944.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$113.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$125.08
|
|
|
NAIL FEM 10mm 34 RT 225732011
|
Facility
|
OP
|
$6,123.65
|
|
| Hospital Charge Code |
270638725
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$147.58 |
| Max. Negotiated Rate |
$3,061.82 |
| Rate for Payer: Aetna Commercial |
$2,326.99
|
| Rate for Payer: Aetna Medicare Advantage |
$1,837.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,561.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,561.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,224.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,561.53
|
| Rate for Payer: Cigna Commercial |
$3,061.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,481.92
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,347.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$918.55
|
| Rate for Payer: UnitedHealthcare Community & State |
$147.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$162.28
|
|
|
NAIL FEM 10mm 34 RT 225732011
|
Facility
|
IP
|
$6,123.65
|
|
| Hospital Charge Code |
270638725
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$918.55 |
| Max. Negotiated Rate |
$1,481.92 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,224.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,481.92
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,347.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$918.55
|
|
|
NAIL FEM 12x28mm RETROG 343728
|
Facility
|
IP
|
$8,320.00
|
|
| Hospital Charge Code |
270643250
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,248.00 |
| Max. Negotiated Rate |
$2,013.44 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,664.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,013.44
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,830.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,248.00
|
|
|
NAIL FEM 12x28mm RETROG 343728
|
Facility
|
OP
|
$8,320.00
|
|
| Hospital Charge Code |
270643250
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$200.51 |
| Max. Negotiated Rate |
$4,160.00 |
| Rate for Payer: Aetna Commercial |
$3,161.60
|
| Rate for Payer: Aetna Medicare Advantage |
$2,496.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,121.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,121.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,664.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,121.60
|
| Rate for Payer: Cigna Commercial |
$4,160.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,013.44
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,830.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,248.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$200.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$220.48
|
|
|
NAIL FEM IM 11x34 LT 225734001
|
Facility
|
OP
|
$996.25
|
|
| Hospital Charge Code |
270634156
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.01 |
| Max. Negotiated Rate |
$498.12 |
| Rate for Payer: Aetna Commercial |
$378.57
|
| Rate for Payer: Aetna Medicare Advantage |
$298.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$254.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$254.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$199.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$254.04
|
| Rate for Payer: Cigna Commercial |
$498.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$241.09
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$219.18
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.44
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26.40
|
|