|
NAIL TROCH LNG 11Mx46M RT28346
|
Facility
|
OP
|
$7,800.00
|
|
| Hospital Charge Code |
270640723
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$187.98 |
| Max. Negotiated Rate |
$3,900.00 |
| Rate for Payer: Aetna Commercial |
$2,964.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,340.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,989.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,989.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,560.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,989.00
|
| Rate for Payer: Cigna Commercial |
$3,900.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,887.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,716.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,170.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$187.98
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$206.70
|
|
|
NAIL TROCH LNG 11Mx46M RT28346
|
Facility
|
IP
|
$7,800.00
|
|
| Hospital Charge Code |
270640723
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,170.00 |
| Max. Negotiated Rate |
$1,887.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,560.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,887.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,716.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,170.00
|
|
|
NAIL TROCH LONG 11m 44 LT28244
|
Facility
|
OP
|
$9,300.00
|
|
| Hospital Charge Code |
270638575
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$224.13 |
| Max. Negotiated Rate |
$4,650.00 |
| Rate for Payer: Aetna Commercial |
$3,534.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,790.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,371.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,371.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,860.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,371.50
|
| Rate for Payer: Cigna Commercial |
$4,650.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,250.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,046.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,395.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$224.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$246.45
|
|
|
NAIL TROCH LONG 11m 44 LT28244
|
Facility
|
IP
|
$9,300.00
|
|
| Hospital Charge Code |
270638575
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,395.00 |
| Max. Negotiated Rate |
$2,250.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,860.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,250.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,046.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,395.00
|
|
|
NAIL TROCH LONG 11mm 28240
|
Facility
|
IP
|
$9,300.00
|
|
| Hospital Charge Code |
270639320
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,395.00 |
| Max. Negotiated Rate |
$2,250.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,860.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,250.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,046.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,395.00
|
|
|
NAIL TROCH LONG 11mm 28240
|
Facility
|
OP
|
$9,300.00
|
|
| Hospital Charge Code |
270639320
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$224.13 |
| Max. Negotiated Rate |
$4,650.00 |
| Rate for Payer: Aetna Commercial |
$3,534.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,790.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,371.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,371.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,860.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,371.50
|
| Rate for Payer: Cigna Commercial |
$4,650.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,250.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,046.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,395.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$224.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$246.45
|
|
|
NAIL TROCH LONG 11mm 36mm RT
|
Facility
|
IP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270641254
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,701.00 |
| Max. Negotiated Rate |
$2,744.28 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
|
|
NAIL TROCH LONG 11mm 36mm RT
|
Facility
|
OP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270641254
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.29 |
| Max. Negotiated Rate |
$5,670.00 |
| Rate for Payer: Aetna Commercial |
$4,309.20
|
| Rate for Payer: Aetna Medicare Advantage |
$3,402.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,891.70
|
| Rate for Payer: Cigna Commercial |
$5,670.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$273.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$300.51
|
|
|
NAIL TROCH LONG 11mm RT 34c
|
Facility
|
OP
|
$12,012.50
|
|
| Hospital Charge Code |
270637150
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$289.50 |
| Max. Negotiated Rate |
$6,006.25 |
| Rate for Payer: Aetna Commercial |
$4,564.75
|
| Rate for Payer: Aetna Medicare Advantage |
$3,603.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,063.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,063.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,402.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,063.19
|
| Rate for Payer: Cigna Commercial |
$6,006.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,907.03
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,642.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,801.88
|
| Rate for Payer: UnitedHealthcare Community & State |
$289.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$318.33
|
|
|
NAIL TROCH LONG 11mm RT 34c
|
Facility
|
IP
|
$12,012.50
|
|
| Hospital Charge Code |
270637150
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,801.88 |
| Max. Negotiated Rate |
$2,907.03 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,402.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,907.03
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,642.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,801.88
|
|
|
NAIL TROCH LONG 11mmX38cm28238
|
Facility
|
OP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270637246
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.29 |
| Max. Negotiated Rate |
$5,670.00 |
| Rate for Payer: Aetna Commercial |
$4,309.20
|
| Rate for Payer: Aetna Medicare Advantage |
$3,402.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,891.70
|
| Rate for Payer: Cigna Commercial |
$5,670.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$273.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$300.51
|
|
|
NAIL TROCH LONG 11mmX38cm28238
|
Facility
|
IP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270637246
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,701.00 |
| Max. Negotiated Rate |
$2,744.28 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
|
|
NAIL TROCH LONG 11mX42m 28342
|
Facility
|
IP
|
$9,750.00
|
|
| Hospital Charge Code |
270639603
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,462.50 |
| Max. Negotiated Rate |
$2,359.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,950.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,359.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,145.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,462.50
|
|
|
NAIL TROCH LONG 11mX42m 28342
|
Facility
|
OP
|
$9,750.00
|
|
| Hospital Charge Code |
270639603
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$234.97 |
| Max. Negotiated Rate |
$4,875.00 |
| Rate for Payer: Aetna Commercial |
$3,705.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,925.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,486.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,486.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,950.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,486.25
|
| Rate for Payer: Cigna Commercial |
$4,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,359.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,145.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,462.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$234.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$258.38
|
|
|
NAIL TROCH LONG 11x34mm 28234
|
Facility
|
OP
|
$11,340.00
|
|
| Hospital Charge Code |
270638430
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.29 |
| Max. Negotiated Rate |
$5,670.00 |
| Rate for Payer: Aetna Commercial |
$4,309.20
|
| Rate for Payer: Aetna Medicare Advantage |
$3,402.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,891.70
|
| Rate for Payer: Cigna Commercial |
$5,670.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$273.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$300.51
|
|
|
NAIL TROCH LONG 11x34mm 28234
|
Facility
|
IP
|
$11,340.00
|
|
| Hospital Charge Code |
270638430
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,701.00 |
| Max. Negotiated Rate |
$2,744.28 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
|
|
NAIL TROCH LONG 11x36 LT 28236
|
Facility
|
OP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270637201
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.29 |
| Max. Negotiated Rate |
$5,670.00 |
| Rate for Payer: Aetna Commercial |
$4,309.20
|
| Rate for Payer: Aetna Medicare Advantage |
$3,402.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,891.70
|
| Rate for Payer: Cigna Commercial |
$5,670.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$273.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$300.51
|
|
|
NAIL TROCH LONG 11x36 LT 28236
|
Facility
|
IP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270637201
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,701.00 |
| Max. Negotiated Rate |
$2,744.28 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
|
|
NAIL TROCH LONG 38cm 28338
|
Facility
|
IP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270637578
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,701.00 |
| Max. Negotiated Rate |
$2,744.28 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
|
|
NAIL TROCH LONG 38cm 28338
|
Facility
|
OP
|
$11,340.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270637578
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.29 |
| Max. Negotiated Rate |
$5,670.00 |
| Rate for Payer: Aetna Commercial |
$4,309.20
|
| Rate for Payer: Aetna Medicare Advantage |
$3,402.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,891.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,268.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,891.70
|
| Rate for Payer: Cigna Commercial |
$5,670.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,744.28
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,494.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,701.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$273.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$300.51
|
|
|
NAIL TROCH X-SHORT 11mmDx17cmL
|
Facility
|
IP
|
$6,825.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270643091
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,023.75 |
| Max. Negotiated Rate |
$1,651.65 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,365.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,651.65
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,501.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,023.75
|
|
|
NAIL TROCH X-SHORT 11mmDx17cmL
|
Facility
|
OP
|
$6,825.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270643091
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$164.48 |
| Max. Negotiated Rate |
$3,412.50 |
| Rate for Payer: Aetna Commercial |
$2,593.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,047.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,740.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,740.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,365.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,740.38
|
| Rate for Payer: Cigna Commercial |
$3,412.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,651.65
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,501.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,023.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$164.48
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$180.86
|
|
|
NAIL TROC LONG 11m 42c LT28242
|
Facility
|
IP
|
$9,750.00
|
|
| Hospital Charge Code |
270640082
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,462.50 |
| Max. Negotiated Rate |
$2,359.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,950.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,359.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,145.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,462.50
|
|
|
NAIL TROC LONG 11m 42c LT28242
|
Facility
|
OP
|
$9,750.00
|
|
| Hospital Charge Code |
270640082
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$234.97 |
| Max. Negotiated Rate |
$4,875.00 |
| Rate for Payer: Aetna Commercial |
$3,705.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,925.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,486.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,486.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,950.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,486.25
|
| Rate for Payer: Cigna Commercial |
$4,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,359.50
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,145.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,462.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$234.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$258.38
|
|
|
NAIL TRO LNG 11m 32cm LT 28232
|
Facility
|
IP
|
$7,800.00
|
|
| Hospital Charge Code |
270640222
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,170.00 |
| Max. Negotiated Rate |
$1,887.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,560.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,887.60
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,716.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,170.00
|
|