|
NAIL TIBIAL TI CANN 11x405mm
|
Facility
|
OP
|
$6,000.00
|
|
| Hospital Charge Code |
270665479
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.60 |
| Max. Negotiated Rate |
$3,000.00 |
| Rate for Payer: Aetna Commercial |
$2,280.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,800.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,530.00
|
| Rate for Payer: Cigna Commercial |
$3,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$144.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$159.00
|
|
|
NAIL TIBIAL TI CANN 8X300mm
|
Facility
|
IP
|
$6,000.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270669790
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$900.00 |
| Max. Negotiated Rate |
$1,452.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
|
|
NAIL TIBIAL TI CANN 8X300mm
|
Facility
|
OP
|
$6,000.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270669790
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.60 |
| Max. Negotiated Rate |
$3,000.00 |
| Rate for Payer: Aetna Commercial |
$2,280.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,800.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,530.00
|
| Rate for Payer: Cigna Commercial |
$3,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$144.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$159.00
|
|
|
NAIL TIBIAL TI CANN 9x270mm
|
Facility
|
OP
|
$6,000.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270659947
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.60 |
| Max. Negotiated Rate |
$3,000.00 |
| Rate for Payer: Aetna Commercial |
$2,280.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,800.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,530.00
|
| Rate for Payer: Cigna Commercial |
$3,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$144.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$159.00
|
|
|
NAIL TIBIAL TI CANN 9x270mm
|
Facility
|
IP
|
$6,000.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270659947
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$900.00 |
| Max. Negotiated Rate |
$1,452.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
|
|
NAILTIBIALWPROXBEND9MM345MM
|
Facility
|
IP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679275
|
|
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
|
|
|
NAILTIBIALWPROXBEND9MM345MM
|
Facility
|
OP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270679275
|
|
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 TIBIAL W/PROX BND 8x285MM
|
Facility
|
OP
|
$6,000.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270673609
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.60 |
| Max. Negotiated Rate |
$3,000.00 |
| Rate for Payer: Aetna Commercial |
$2,280.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,800.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,530.00
|
| Rate for Payer: Cigna Commercial |
$3,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$144.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$159.00
|
|
|
NAIL TIBIAL W/PROX BND 8x285MM
|
Facility
|
IP
|
$6,000.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270673609
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$900.00 |
| Max. Negotiated Rate |
$1,452.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
|
|
NAIL TIBIAL W/PROX BND 9x285MM
|
Facility
|
OP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270678604
|
|
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 TIBIAL W/PROX BND 9x285MM
|
Facility
|
IP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270678604
|
|
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 TIBIAL W/PROX BND 9x360MM
|
Facility
|
OP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270647420
|
|
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 TIBIAL W/PROX BND 9x360MM
|
Facility
|
IP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270647420
|
|
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 TIBIAL W/PRX BND 10x300MM
|
Facility
|
IP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270646674
|
|
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 TIBIAL W/PRX BND 10x300MM
|
Facility
|
OP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270646674
|
|
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 TIBIAL W/PRX BND 10x345MM
|
Facility
|
IP
|
$6,365.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270674374
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$954.81 |
| Max. Negotiated Rate |
$1,540.43 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,273.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,540.43
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,400.39
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$954.81
|
|
|
NAIL TIBIAL W/PRX BND 10x345MM
|
Facility
|
OP
|
$6,365.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270674374
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.41 |
| Max. Negotiated Rate |
$3,182.70 |
| Rate for Payer: Aetna Commercial |
$2,418.85
|
| Rate for Payer: Aetna Medicare Advantage |
$1,909.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,623.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,623.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,273.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,623.18
|
| Rate for Payer: Cigna Commercial |
$3,182.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,540.43
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,400.39
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$954.81
|
| Rate for Payer: UnitedHealthcare Community & State |
$153.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$168.68
|
|
|
NAIL TIBIAL W/PRX BND 10x360MM
|
Facility
|
IP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270672774
|
|
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 TIBIAL W/PRX BND 10x360MM
|
Facility
|
OP
|
$6,180.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270672774
|
|
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 TIBIAL W/PRX BND 11x360MM
|
Facility
|
IP
|
$6,000.00
|
|
| Hospital Charge Code |
270676405
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$900.00 |
| Max. Negotiated Rate |
$1,452.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
|
|
NAIL TIBIAL W/PRX BND 11x360MM
|
Facility
|
OP
|
$6,000.00
|
|
| Hospital Charge Code |
270676405
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$144.60 |
| Max. Negotiated Rate |
$3,000.00 |
| Rate for Payer: Aetna Commercial |
$2,280.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,800.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,530.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,200.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,530.00
|
| Rate for Payer: Cigna Commercial |
$3,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,452.00
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$900.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$144.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$159.00
|
|
|
NAIL TIBIA PHOENIX 10X150MM
|
Facility
|
IP
|
$15,275.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270700134
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,291.25 |
| Max. Negotiated Rate |
$3,696.55 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,055.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,696.55
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,360.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,291.25
|
|
|
NAIL TIBIA PHOENIX 10X150MM
|
Facility
|
OP
|
$15,275.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270700134
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$368.13 |
| Max. Negotiated Rate |
$7,637.50 |
| Rate for Payer: Aetna Commercial |
$5,804.50
|
| Rate for Payer: Aetna Medicare Advantage |
$4,582.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,895.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,895.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,055.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,895.12
|
| Rate for Payer: Cigna Commercial |
$7,637.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,696.55
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,360.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,291.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$368.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$404.79
|
|
|
NAIL TIBIA STANDARD 09 X 330M
|
Facility
|
IP
|
$11,980.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270667790
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,797.00 |
| Max. Negotiated Rate |
$2,899.16 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,396.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,899.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,635.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,797.00
|
|
|
NAIL TIBIA STANDARD 09 X 330M
|
Facility
|
OP
|
$11,980.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270667790
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$288.72 |
| Max. Negotiated Rate |
$5,990.00 |
| Rate for Payer: Aetna Commercial |
$4,552.40
|
| Rate for Payer: Aetna Medicare Advantage |
$3,594.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,054.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,054.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,396.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,054.90
|
| Rate for Payer: Cigna Commercial |
$5,990.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,899.16
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,635.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,797.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$288.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$317.47
|
|