|
NAIL TRO LNG 11m 32cm LT 28232
|
Facility
|
OP
|
$7,800.00
|
|
| Hospital Charge Code |
270640222
|
|
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 VAL 3.0 BEADED KWIRE
|
Facility
|
IP
|
$1,117.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699019
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$167.63 |
| Max. Negotiated Rate |
$270.45 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$223.51
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$270.45
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$245.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$167.63
|
|
|
NAIL VAL 3.0 BEADED KWIRE
|
Facility
|
OP
|
$1,117.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699019
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$26.93 |
| Max. Negotiated Rate |
$558.77 |
| Rate for Payer: Aetna Commercial |
$424.67
|
| Rate for Payer: Aetna Medicare Advantage |
$335.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$284.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$284.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$223.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$284.98
|
| Rate for Payer: Cigna Commercial |
$558.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$270.45
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$245.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$167.63
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$29.62
|
|
|
NAIL VAL 3.0 KWIRE
|
Facility
|
IP
|
$1,117.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699018
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$167.63 |
| Max. Negotiated Rate |
$270.45 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$223.51
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$270.45
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$245.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$167.63
|
|
|
NAIL VAL 3.0 KWIRE
|
Facility
|
OP
|
$1,117.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699018
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$26.93 |
| Max. Negotiated Rate |
$558.77 |
| Rate for Payer: Aetna Commercial |
$424.67
|
| Rate for Payer: Aetna Medicare Advantage |
$335.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$284.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$284.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$223.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$284.98
|
| Rate for Payer: Cigna Commercial |
$558.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$270.45
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$245.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$167.63
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$29.62
|
|
|
NAIL VAL 4.3MM DRILL SHORT
|
Facility
|
OP
|
$1,427.65
|
|
| Hospital Charge Code |
270699021
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.41 |
| Max. Negotiated Rate |
$713.83 |
| Rate for Payer: Aetna Commercial |
$542.51
|
| Rate for Payer: Aetna Medicare Advantage |
$428.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$364.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$364.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$364.05
|
| Rate for Payer: Cigna Commercial |
$713.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$428.30
|
| Rate for Payer: Oxford Commercial |
$285.53
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$285.53
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.83
|
|
|
NAIL VAL 4.3MM DRILL SHORT
|
Facility
|
IP
|
$1,427.65
|
|
| Hospital Charge Code |
270699021
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$214.15 |
| Max. Negotiated Rate |
$214.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.15
|
|
|
NAIL VALOR 10MMX200MM
|
Facility
|
OP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270678179
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$306.31 |
| Max. Negotiated Rate |
$6,355.00 |
| Rate for Payer: Aetna Commercial |
$4,829.80
|
| Rate for Payer: Aetna Medicare Advantage |
$3,813.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,241.05
|
| Rate for Payer: Cigna Commercial |
$6,355.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,796.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$306.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$336.81
|
|
|
NAIL VALOR 10MMX200MM
|
Facility
|
IP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270678179
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,906.50 |
| Max. Negotiated Rate |
$3,075.82 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,796.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
|
|
NAIL VALOR 10x150MM LEFT
|
Facility
|
IP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270677448
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,906.50 |
| Max. Negotiated Rate |
$3,075.82 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,796.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
|
|
NAIL VALOR 10x150MM LEFT
|
Facility
|
OP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270677448
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$306.31 |
| Max. Negotiated Rate |
$6,355.00 |
| Rate for Payer: Aetna Commercial |
$4,829.80
|
| Rate for Payer: Aetna Medicare Advantage |
$3,813.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,241.05
|
| Rate for Payer: Cigna Commercial |
$6,355.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$2,796.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$306.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$336.81
|
|
|
NAIL VALOR LG RT 10MMX250MM
|
Facility
|
OP
|
$13,895.00
|
|
| Hospital Charge Code |
270702748
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$334.87 |
| Max. Negotiated Rate |
$6,947.50 |
| Rate for Payer: Aetna Commercial |
$5,280.10
|
| Rate for Payer: Aetna Medicare Advantage |
$4,168.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,543.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,543.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,779.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,543.22
|
| Rate for Payer: Cigna Commercial |
$6,947.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,362.59
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,056.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,084.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$334.87
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$368.22
|
|
|
NAIL VALOR LG RT 10MMX250MM
|
Facility
|
IP
|
$13,895.00
|
|
| Hospital Charge Code |
270702748
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,084.25 |
| Max. Negotiated Rate |
$3,362.59 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,779.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,362.59
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,056.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,084.25
|
|
|
NAIL VALOR RT SMALL 10X150MM
|
Facility
|
IP
|
$25,640.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270694904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,846.00 |
| Max. Negotiated Rate |
$6,204.88 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,128.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,204.88
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,640.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,846.00
|
|
|
NAIL VALOR RT SMALL 10X150MM
|
Facility
|
OP
|
$25,640.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270694904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$617.92 |
| Max. Negotiated Rate |
$12,820.00 |
| Rate for Payer: Aetna Commercial |
$9,743.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7,692.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,538.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,538.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,128.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,538.20
|
| Rate for Payer: Cigna Commercial |
$12,820.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,204.88
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$5,640.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,846.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$617.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$679.46
|
|
|
NAIL VALOR SM RT 11.5X150MM
|
Facility
|
OP
|
$16,205.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699263
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$390.54 |
| Max. Negotiated Rate |
$8,102.50 |
| Rate for Payer: Aetna Commercial |
$6,157.90
|
| Rate for Payer: Aetna Medicare Advantage |
$4,861.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4,132.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4,132.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,241.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4,132.27
|
| Rate for Payer: Cigna Commercial |
$8,102.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,921.61
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,565.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,430.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$390.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$429.43
|
|
|
NAIL VALOR SM RT 11.5X150MM
|
Facility
|
IP
|
$16,205.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699263
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,430.75 |
| Max. Negotiated Rate |
$3,921.61 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,241.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,921.61
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$3,565.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,430.75
|
|
|
NAIL WIN 2.5MM FLEXIBLE PED
|
Facility
|
OP
|
$1,135.00
|
|
| Hospital Charge Code |
270663208
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.35 |
| Max. Negotiated Rate |
$567.50 |
| Rate for Payer: Aetna Commercial |
$431.30
|
| Rate for Payer: Aetna Medicare Advantage |
$340.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$289.43
|
| Rate for Payer: Cigna Commercial |
$567.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$249.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$30.08
|
|
|
NAIL WIN 2.5MM FLEXIBLE PED
|
Facility
|
IP
|
$1,135.00
|
|
| Hospital Charge Code |
270663208
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$274.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$249.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
NAIL WIN 2MM FLEXIBLE PED
|
Facility
|
OP
|
$1,135.00
|
|
| Hospital Charge Code |
270663207
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$27.35 |
| Max. Negotiated Rate |
$567.50 |
| Rate for Payer: Aetna Commercial |
$431.30
|
| Rate for Payer: Aetna Medicare Advantage |
$340.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$289.43
|
| Rate for Payer: Cigna Commercial |
$567.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$249.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$30.08
|
|
|
NAIL WIN 2MM FLEXIBLE PED
|
Facility
|
IP
|
$1,135.00
|
|
| Hospital Charge Code |
270663207
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$274.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$249.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
NAIL ZIM HUMRL 10 25 225425510
|
Facility
|
OP
|
$4,689.65
|
|
| Hospital Charge Code |
270619865
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$113.02 |
| Max. Negotiated Rate |
$2,344.82 |
| Rate for Payer: Aetna Commercial |
$1,782.07
|
| Rate for Payer: Aetna Medicare Advantage |
$1,406.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,195.86
|
| Rate for Payer: Cigna Commercial |
$2,344.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,031.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
| Rate for Payer: UnitedHealthcare Community & State |
$113.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$124.28
|
|
|
NAIL ZIM HUMRL 10 25 225425510
|
Facility
|
IP
|
$4,689.65
|
|
| Hospital Charge Code |
270619865
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$1,134.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,031.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|
|
NAIL ZIM HUMRL 11 225430011
|
Facility
|
IP
|
$4,689.65
|
|
| Hospital Charge Code |
270619334
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$1,134.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,031.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|
|
NAIL ZIM HUMRL 11 225430011
|
Facility
|
OP
|
$4,689.65
|
|
| Hospital Charge Code |
270619334
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$113.02 |
| Max. Negotiated Rate |
$2,344.82 |
| Rate for Payer: Aetna Commercial |
$1,782.07
|
| Rate for Payer: Aetna Medicare Advantage |
$1,406.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,195.86
|
| Rate for Payer: Cigna Commercial |
$2,344.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$1,031.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
| Rate for Payer: UnitedHealthcare Community & State |
$113.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$124.28
|
|