|
NAIL TFN 11x340MM RT 130 DEG
|
Facility
|
IP
|
$7,335.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270633687
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,100.25 |
| Max. Negotiated Rate |
$1,775.07 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,467.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,775.07
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,613.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,100.25
|
|
|
NAIL TFN 11x340MM RT 130 DEG
|
Facility
|
OP
|
$7,335.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270633687
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$176.77 |
| Max. Negotiated Rate |
$3,667.50 |
| Rate for Payer: Aetna Commercial |
$2,787.30
|
| Rate for Payer: Aetna Medicare Advantage |
$2,200.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,870.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,870.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,467.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,870.42
|
| Rate for Payer: Cigna Commercial |
$3,667.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,775.07
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,613.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,100.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$176.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$194.38
|
|
|
NAIL TFN 11X360
|
Facility
|
IP
|
$7,335.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270669729
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,100.25 |
| Max. Negotiated Rate |
$1,775.07 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,467.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,775.07
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,613.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,100.25
|
|
|
NAIL TFN 11X360
|
Facility
|
OP
|
$7,335.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270669729
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$176.77 |
| Max. Negotiated Rate |
$3,667.50 |
| Rate for Payer: Aetna Commercial |
$2,787.30
|
| Rate for Payer: Aetna Medicare Advantage |
$2,200.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,870.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,870.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,467.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,870.42
|
| Rate for Payer: Cigna Commercial |
$3,667.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,775.07
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,613.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,100.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$176.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$194.38
|
|
|
NAIL TFNA10MM130DTICANN400MMLT
|
Facility
|
IP
|
$28,700.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,305.00 |
| Max. Negotiated Rate |
$6,945.40 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,740.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,945.40
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,314.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,305.00
|
|
|
NAIL TFNA10MM130DTICANN400MMLT
|
Facility
|
OP
|
$28,700.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$691.67 |
| Max. Negotiated Rate |
$14,350.00 |
| Rate for Payer: Aetna Commercial |
$10,906.00
|
| Rate for Payer: Aetna Medicare Advantage |
$8,610.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7,318.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7,318.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,740.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7,318.50
|
| Rate for Payer: Cigna Commercial |
$14,350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,945.40
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$6,314.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4,305.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$691.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$760.55
|
|
|
NAIL TFNA 10X170mm 130 DEG STE
|
Facility
|
IP
|
$7,094.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270677529
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,064.14 |
| Max. Negotiated Rate |
$1,716.81 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,418.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,716.81
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,560.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,064.14
|
|
|
NAIL TFNA 10X170mm 130 DEG STE
|
Facility
|
OP
|
$7,094.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270677529
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.97 |
| Max. Negotiated Rate |
$3,547.12 |
| Rate for Payer: Aetna Commercial |
$2,695.82
|
| Rate for Payer: Aetna Medicare Advantage |
$2,128.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,809.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,809.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,418.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,809.03
|
| Rate for Payer: Cigna Commercial |
$3,547.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,716.81
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,560.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,064.14
|
| Rate for Payer: UnitedHealthcare Community & State |
$170.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$188.00
|
|
|
NAIL TFNA 10x235MM 130DEG RT/S
|
Facility
|
OP
|
$8,157.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270680627
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$196.59 |
| Max. Negotiated Rate |
$4,078.62 |
| Rate for Payer: Aetna Commercial |
$3,099.76
|
| Rate for Payer: Aetna Medicare Advantage |
$2,447.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,080.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,080.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,631.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,080.10
|
| Rate for Payer: Cigna Commercial |
$4,078.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,974.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,794.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,223.59
|
| Rate for Payer: UnitedHealthcare Community & State |
$196.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$216.17
|
|
|
NAIL TFNA 10x235MM 130DEG RT/S
|
Facility
|
IP
|
$8,157.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270680627
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,223.59 |
| Max. Negotiated Rate |
$1,974.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,631.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,974.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,794.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,223.59
|
|
|
NAIL TFNA 10x360MM 130DEG RT
|
Facility
|
OP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270680077
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$232.64 |
| Max. Negotiated Rate |
$4,826.57 |
| Rate for Payer: Aetna Commercial |
$3,668.20
|
| Rate for Payer: Aetna Medicare Advantage |
$2,895.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,461.55
|
| Rate for Payer: Cigna Commercial |
$4,826.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$232.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$255.81
|
|
|
NAIL TFNA 10x360MM 130DEG RT
|
Facility
|
IP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270680077
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,447.97 |
| Max. Negotiated Rate |
$2,336.06 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
|
|
NAIL TFNA 10X 400 mm
|
Facility
|
IP
|
$10,649.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270688248
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,597.44 |
| Max. Negotiated Rate |
$2,577.20 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,129.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,577.20
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,342.91
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,597.44
|
|
|
NAIL TFNA 10X 400 mm
|
Facility
|
OP
|
$10,649.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270688248
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.66 |
| Max. Negotiated Rate |
$5,324.80 |
| Rate for Payer: Aetna Commercial |
$4,046.85
|
| Rate for Payer: Aetna Medicare Advantage |
$3,194.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,715.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,715.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,129.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,715.65
|
| Rate for Payer: Cigna Commercial |
$5,324.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,577.20
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,342.91
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,597.44
|
| Rate for Payer: UnitedHealthcare Community & State |
$256.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$282.21
|
|
|
NAIL TFNA 11x130MM 130DEG LT
|
Facility
|
IP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270676513
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,447.97 |
| Max. Negotiated Rate |
$2,336.06 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
|
|
NAIL TFNA 11x130MM 130DEG LT
|
Facility
|
OP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270676513
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$232.64 |
| Max. Negotiated Rate |
$4,826.57 |
| Rate for Payer: Aetna Commercial |
$3,668.20
|
| Rate for Payer: Aetna Medicare Advantage |
$2,895.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,461.55
|
| Rate for Payer: Cigna Commercial |
$4,826.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$232.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$255.81
|
|
|
NAIL TFNA 11x170MM 130DEG
|
Facility
|
IP
|
$7,094.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270675195
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,064.14 |
| Max. Negotiated Rate |
$1,716.81 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,418.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,716.81
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,560.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,064.14
|
|
|
NAIL TFNA 11x170MM 130DEG
|
Facility
|
OP
|
$7,094.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270675195
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.97 |
| Max. Negotiated Rate |
$3,547.12 |
| Rate for Payer: Aetna Commercial |
$2,695.82
|
| Rate for Payer: Aetna Medicare Advantage |
$2,128.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,809.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,809.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,418.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,809.03
|
| Rate for Payer: Cigna Commercial |
$3,547.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,716.81
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,560.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,064.14
|
| Rate for Payer: UnitedHealthcare Community & State |
$170.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$188.00
|
|
|
NAIL TFNA 11x320MM 130DEG RT
|
Facility
|
IP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270674943
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,447.97 |
| Max. Negotiated Rate |
$2,336.06 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
|
|
NAIL TFNA 11x320MM 130DEG RT
|
Facility
|
OP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270674943
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$232.64 |
| Max. Negotiated Rate |
$4,826.57 |
| Rate for Payer: Aetna Commercial |
$3,668.20
|
| Rate for Payer: Aetna Medicare Advantage |
$2,895.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,461.55
|
| Rate for Payer: Cigna Commercial |
$4,826.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$232.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$255.81
|
|
|
NAIL TFNA 11x340MM 130DEG LT
|
Facility
|
IP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270675802
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,447.97 |
| Max. Negotiated Rate |
$2,336.06 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
|
|
NAIL TFNA 11x340MM 130DEG LT
|
Facility
|
OP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270675802
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$232.64 |
| Max. Negotiated Rate |
$4,826.57 |
| Rate for Payer: Aetna Commercial |
$3,668.20
|
| Rate for Payer: Aetna Medicare Advantage |
$2,895.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,461.55
|
| Rate for Payer: Cigna Commercial |
$4,826.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$232.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$255.81
|
|
|
NAIL TFNA 11x380MM 130DEG RT
|
Facility
|
OP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270676934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$232.64 |
| Max. Negotiated Rate |
$4,826.57 |
| Rate for Payer: Aetna Commercial |
$3,668.20
|
| Rate for Payer: Aetna Medicare Advantage |
$2,895.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,461.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,461.55
|
| Rate for Payer: Cigna Commercial |
$4,826.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$232.64
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$255.81
|
|
|
NAIL TFNA 11x380MM 130DEG RT
|
Facility
|
IP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270676934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,447.97 |
| Max. Negotiated Rate |
$2,336.06 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
|
|
NAIL TFNA 11x420MM 130DEG LT
|
Facility
|
IP
|
$9,653.15
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270675048
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,447.97 |
| Max. Negotiated Rate |
$2,336.06 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,930.63
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,336.06
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,123.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,447.97
|
|