|
NAIL SNR IM SPC 13 25 71122397
|
Facility
|
OP
|
$3,528.00
|
|
| Hospital Charge Code |
270613593
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$85.02 |
| Max. Negotiated Rate |
$1,764.00 |
| Rate for Payer: Aetna Commercial |
$1,340.64
|
| Rate for Payer: Aetna Medicare Advantage |
$1,058.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$899.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$899.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$705.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$899.64
|
| Rate for Payer: Cigna Commercial |
$1,764.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$853.78
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$776.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$529.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$85.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$93.49
|
|
|
NAIL STRY GAMMA 11 340 3370703
|
Facility
|
IP
|
$5,460.00
|
|
| Hospital Charge Code |
270627180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$819.00 |
| Max. Negotiated Rate |
$1,321.32 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,092.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,321.32
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,201.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$819.00
|
|
|
NAIL STRY GAMMA 11 340 3370703
|
Facility
|
OP
|
$5,460.00
|
|
| Hospital Charge Code |
270627180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$131.59 |
| Max. Negotiated Rate |
$2,730.00 |
| Rate for Payer: Aetna Commercial |
$2,074.80
|
| Rate for Payer: Aetna Medicare Advantage |
$1,638.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,392.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,392.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,092.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,392.30
|
| Rate for Payer: Cigna Commercial |
$2,730.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,321.32
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,201.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$819.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$131.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$144.69
|
|
|
NAIL SUPRACONDYLAR 10x320mm
|
Facility
|
OP
|
$10,692.20
|
|
| Hospital Charge Code |
270675726
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$257.68 |
| Max. Negotiated Rate |
$5,346.10 |
| Rate for Payer: Aetna Commercial |
$4,063.04
|
| Rate for Payer: Aetna Medicare Advantage |
$3,207.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,726.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,726.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,138.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,726.51
|
| Rate for Payer: Cigna Commercial |
$5,346.10
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,587.51
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,352.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,603.83
|
| Rate for Payer: UnitedHealthcare Community & State |
$257.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$283.34
|
|
|
NAIL SUPRACONDYLAR 10x320mm
|
Facility
|
IP
|
$10,692.20
|
|
| Hospital Charge Code |
270675726
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,603.83 |
| Max. Negotiated Rate |
$2,587.51 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,138.44
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,587.51
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,352.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,603.83
|
|
|
NAIL SUPRACONDYLAR 11x300MM
|
Facility
|
OP
|
$15,885.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270671999
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$382.83 |
| Max. Negotiated Rate |
$7,942.50 |
| Rate for Payer: Aetna Commercial |
$6,036.30
|
| Rate for Payer: Aetna Medicare Advantage |
$4,765.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4,050.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4,050.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,177.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4,050.68
|
| Rate for Payer: Cigna Commercial |
$7,942.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,844.17
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,494.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,382.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$382.83
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$420.95
|
|
|
NAIL SUPRACONDYLAR 11x300MM
|
Facility
|
IP
|
$15,885.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270671999
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,382.75 |
| Max. Negotiated Rate |
$3,844.17 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,177.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,844.17
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,494.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,382.75
|
|
|
NAIL SUPRACONDYLAR 9X360MM
|
Facility
|
OP
|
$15,130.00
|
|
| Hospital Charge Code |
270668729
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$364.63 |
| Max. Negotiated Rate |
$7,565.00 |
| Rate for Payer: Aetna Commercial |
$5,749.40
|
| Rate for Payer: Aetna Medicare Advantage |
$4,539.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,858.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,858.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,026.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,858.15
|
| Rate for Payer: Cigna Commercial |
$7,565.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,661.46
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,328.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,269.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$364.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$400.94
|
|
|
NAIL SUPRACONDYLAR 9X360MM
|
Facility
|
IP
|
$15,130.00
|
|
| Hospital Charge Code |
270668729
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,269.50 |
| Max. Negotiated Rate |
$3,661.46 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,026.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,661.46
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,328.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,269.50
|
|
|
NAIL SYN FEM 10 360MM 465.36S
|
Facility
|
IP
|
$3,371.25
|
|
| Hospital Charge Code |
270611965
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$505.69 |
| Max. Negotiated Rate |
$815.84 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$674.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$815.84
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$741.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$505.69
|
|
|
NAIL SYN FEM 10 360MM 465.36S
|
Facility
|
OP
|
$3,371.25
|
|
| Hospital Charge Code |
270611965
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.25 |
| Max. Negotiated Rate |
$1,685.62 |
| Rate for Payer: Aetna Commercial |
$1,281.08
|
| Rate for Payer: Aetna Medicare Advantage |
$1,011.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$859.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$859.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$674.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$859.67
|
| Rate for Payer: Cigna Commercial |
$1,685.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$815.84
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$741.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$505.69
|
| Rate for Payer: UnitedHealthcare Community & State |
$81.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$89.34
|
|
|
NAIL SYN FEM 11 200MM 450.802S
|
Facility
|
IP
|
$5,465.65
|
|
| Hospital Charge Code |
270627045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$819.85 |
| Max. Negotiated Rate |
$1,322.69 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,093.13
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,322.69
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,202.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$819.85
|
|
|
NAIL SYN FEM 11 200MM 450.802S
|
Facility
|
OP
|
$5,465.65
|
|
| Hospital Charge Code |
270627045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$131.72 |
| Max. Negotiated Rate |
$2,732.82 |
| Rate for Payer: Aetna Commercial |
$2,076.95
|
| Rate for Payer: Aetna Medicare Advantage |
$1,639.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,393.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,393.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,093.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,393.74
|
| Rate for Payer: Cigna Commercial |
$2,732.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,322.69
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,202.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$819.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$131.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$144.84
|
|
|
NAIL SYN TIB 9 345MM 479.34S
|
Facility
|
OP
|
$4,713.65
|
|
| Hospital Charge Code |
270612757
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$113.60 |
| Max. Negotiated Rate |
$2,356.82 |
| Rate for Payer: Aetna Commercial |
$1,791.19
|
| Rate for Payer: Aetna Medicare Advantage |
$1,414.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,201.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,201.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$942.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,201.98
|
| Rate for Payer: Cigna Commercial |
$2,356.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,140.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,037.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$707.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$113.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$124.91
|
|
|
NAIL SYN TIB 9 345MM 479.34S
|
Facility
|
IP
|
$4,713.65
|
|
| Hospital Charge Code |
270612757
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$707.05 |
| Max. Negotiated Rate |
$1,140.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$942.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,140.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,037.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$707.05
|
|
|
NAIL SYN TT 3 440 475.930S
|
Facility
|
OP
|
$980.00
|
|
| Hospital Charge Code |
270627124
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$23.62 |
| Max. Negotiated Rate |
$490.00 |
| Rate for Payer: Aetna Commercial |
$372.40
|
| Rate for Payer: Aetna Medicare Advantage |
$294.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$249.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$249.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$196.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$249.90
|
| Rate for Payer: Cigna Commercial |
$490.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$237.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$215.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$147.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.97
|
|
|
NAIL SYN TT 3 440 475.930S
|
Facility
|
IP
|
$980.00
|
|
| Hospital Charge Code |
270627124
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$147.00 |
| Max. Negotiated Rate |
$237.16 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$196.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$237.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$215.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$147.00
|
|
|
NAIL T2 ANKLE 10X200MM
|
Facility
|
OP
|
$30,350.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699230
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$731.43 |
| Max. Negotiated Rate |
$15,175.00 |
| Rate for Payer: Aetna Commercial |
$11,533.00
|
| Rate for Payer: Aetna Medicare Advantage |
$9,105.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7,739.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7,739.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$6,070.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7,739.25
|
| Rate for Payer: Cigna Commercial |
$15,175.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7,344.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,677.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,552.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$731.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$804.27
|
|
|
NAIL T2 ANKLE 10X200MM
|
Facility
|
IP
|
$30,350.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699230
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,552.50 |
| Max. Negotiated Rate |
$7,344.70 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$6,070.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7,344.70
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,677.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,552.50
|
|
|
NAIL TBIAL
|
Facility
|
IP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270685518
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$927.00 |
| Max. Negotiated Rate |
$1,495.56 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,236.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,495.56
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,359.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$927.00
|
|
|
NAIL TBIAL
|
Facility
|
OP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270685518
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$148.94 |
| Max. Negotiated Rate |
$3,090.00 |
| Rate for Payer: Aetna Commercial |
$2,348.40
|
| Rate for Payer: Aetna Medicare Advantage |
$1,854.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,575.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,575.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,236.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,575.90
|
| Rate for Payer: Cigna Commercial |
$3,090.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,495.56
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,359.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$927.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$148.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$163.77
|
|
|
NAIL TFN 10X360MM 130 DEG
|
Facility
|
IP
|
$7,812.00
|
|
| Hospital Charge Code |
270670732
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,171.80 |
| Max. Negotiated Rate |
$1,890.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,562.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,890.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,718.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,171.80
|
|
|
NAIL TFN 10X360MM 130 DEG
|
Facility
|
OP
|
$7,812.00
|
|
| Hospital Charge Code |
270670732
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$188.27 |
| Max. Negotiated Rate |
$3,906.00 |
| Rate for Payer: Aetna Commercial |
$2,968.56
|
| Rate for Payer: Aetna Medicare Advantage |
$2,343.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,992.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,992.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,562.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,992.06
|
| Rate for Payer: Cigna Commercial |
$3,906.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,890.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,718.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,171.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$188.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$207.02
|
|
|
NAIL TFN 11mmx130DEG TI CANN L
|
Facility
|
OP
|
$7,919.65
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679814
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$190.86 |
| Max. Negotiated Rate |
$3,959.82 |
| Rate for Payer: Aetna Commercial |
$3,009.47
|
| Rate for Payer: Aetna Medicare Advantage |
$2,375.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,019.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,019.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,583.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,019.51
|
| Rate for Payer: Cigna Commercial |
$3,959.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,916.56
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,742.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,187.95
|
| Rate for Payer: UnitedHealthcare Community & State |
$190.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$209.87
|
|
|
NAIL TFN 11mmx130DEG TI CANN L
|
Facility
|
IP
|
$7,919.65
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679814
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,187.95 |
| Max. Negotiated Rate |
$1,916.56 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,583.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,916.56
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,742.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,187.95
|
|