|
NEEDLE ACQUIRE 25GA FNB
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270679458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.60 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$750.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$592.50
|
| Rate for Payer: Oxford Commercial |
$395.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$395.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$47.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$52.34
|
|
|
NEEDLE ACQUIRE 25GA FNB
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270679458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ANESTHESIA EPIDURAL
|
Facility
|
OP
|
$39.15
|
|
| Hospital Charge Code |
270650825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.94 |
| Max. Negotiated Rate |
$19.57 |
| Rate for Payer: Aetna Commercial |
$14.88
|
| Rate for Payer: Aetna Medicare Advantage |
$11.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.98
|
| Rate for Payer: Cigna Commercial |
$19.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.74
|
| Rate for Payer: Oxford Commercial |
$7.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.83
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.04
|
|
|
NEEDLE ANESTHESIA EPIDURAL
|
Facility
|
IP
|
$39.15
|
|
| Hospital Charge Code |
270650825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.87 |
| Max. Negotiated Rate |
$5.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.87
|
|
|
NEEDLE ANGIOGRAPHIC 130ml
|
Facility
|
IP
|
$24.48
|
|
| Hospital Charge Code |
270639113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
|
|
NEEDLE ANGIOGRAPHIC 130ml
|
Facility
|
OP
|
$24.48
|
|
| Hospital Charge Code |
270639113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$12.24 |
| Rate for Payer: Aetna Commercial |
$9.30
|
| Rate for Payer: Aetna Medicare Advantage |
$7.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.24
|
| Rate for Payer: Cigna Commercial |
$12.24
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.34
|
| Rate for Payer: Oxford Commercial |
$4.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.65
|
|
|
NEEDLE ANTI CORG 19gx1 LPS4191
|
Facility
|
IP
|
$803.60
|
|
| Hospital Charge Code |
270630883
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$120.54 |
| Max. Negotiated Rate |
$120.54 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.54
|
|
|
NEEDLE ANTI CORG 19gx1 LPS4191
|
Facility
|
OP
|
$803.60
|
|
| Hospital Charge Code |
270630883
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.37 |
| Max. Negotiated Rate |
$401.80 |
| Rate for Payer: Aetna Commercial |
$305.37
|
| Rate for Payer: Aetna Medicare Advantage |
$241.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$204.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$204.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$204.92
|
| Rate for Payer: Cigna Commercial |
$401.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$241.08
|
| Rate for Payer: Oxford Commercial |
$160.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.54
|
| Rate for Payer: UnitedHealthcare Commercial |
$160.72
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21.30
|
|
|
NEEDLE ARTERAL ENTRY 19G 44160
|
Facility
|
OP
|
$28.85
|
|
| Hospital Charge Code |
270634524
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.70 |
| Max. Negotiated Rate |
$14.43 |
| Rate for Payer: Aetna Commercial |
$10.96
|
| Rate for Payer: Aetna Medicare Advantage |
$8.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.36
|
| Rate for Payer: Cigna Commercial |
$14.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.65
|
| Rate for Payer: Oxford Commercial |
$5.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.76
|
|
|
NEEDLE ARTERAL ENTRY 19G 44160
|
Facility
|
IP
|
$28.85
|
|
| Hospital Charge Code |
270634524
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.33 |
| Max. Negotiated Rate |
$4.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.33
|
|
|
NEEDLE ARTERIAL ENTRY 18G
|
Facility
|
OP
|
$23.50
|
|
| Hospital Charge Code |
270601193
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.57 |
| Max. Negotiated Rate |
$11.75 |
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: Aetna Medicare Advantage |
$7.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.99
|
| Rate for Payer: Cigna Commercial |
$11.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.05
|
| Rate for Payer: Oxford Commercial |
$4.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.52
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.62
|
|
|
NEEDLE ARTERIAL ENTRY 18G
|
Facility
|
IP
|
$23.50
|
|
| Hospital Charge Code |
270601193
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.52 |
| Max. Negotiated Rate |
$3.52 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.52
|
|
|
NEEDLE ASPIRATION 20 GA 130 CM
|
Facility
|
IP
|
$415.00
|
|
| Hospital Charge Code |
270689114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.25 |
| Max. Negotiated Rate |
$62.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.25
|
|
|
NEEDLE ASPIRATION 20 GA 130 CM
|
Facility
|
OP
|
$415.00
|
|
| Hospital Charge Code |
270689114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.00 |
| Max. Negotiated Rate |
$207.50 |
| Rate for Payer: Aetna Commercial |
$157.70
|
| Rate for Payer: Aetna Medicare Advantage |
$124.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$105.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$105.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$105.83
|
| Rate for Payer: Cigna Commercial |
$207.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$124.50
|
| Rate for Payer: Oxford Commercial |
$83.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$83.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.00
|
|
|
NEEDLE ASPIRATION 21 GA 130 CM
|
Facility
|
IP
|
$415.95
|
|
| Hospital Charge Code |
270689115
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.39 |
| Max. Negotiated Rate |
$62.39 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.39
|
|
|
NEEDLE ASPIRATION 21 GA 130 CM
|
Facility
|
OP
|
$415.95
|
|
| Hospital Charge Code |
270689115
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.02 |
| Max. Negotiated Rate |
$207.97 |
| Rate for Payer: Aetna Commercial |
$158.06
|
| Rate for Payer: Aetna Medicare Advantage |
$124.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$106.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$106.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$106.07
|
| Rate for Payer: Cigna Commercial |
$207.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$124.78
|
| Rate for Payer: Oxford Commercial |
$83.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$83.19
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.02
|
|
|
NEEDLE ASPIRATION EUS 19G FLEX
|
Facility
|
IP
|
$2,164.27
|
|
| Hospital Charge Code |
270675828
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$324.64 |
| Max. Negotiated Rate |
$324.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
|
|
NEEDLE ASPIRATION EUS 19G FLEX
|
Facility
|
OP
|
$2,164.27
|
|
| Hospital Charge Code |
270675828
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$52.16 |
| Max. Negotiated Rate |
$1,082.13 |
| Rate for Payer: Aetna Commercial |
$822.42
|
| Rate for Payer: Aetna Medicare Advantage |
$649.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$551.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$551.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$551.89
|
| Rate for Payer: Cigna Commercial |
$1,082.13
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$649.28
|
| Rate for Payer: Oxford Commercial |
$432.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$432.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$57.35
|
|
|
NEEDLE ASPIRATION EUS 25G-5002
|
Facility
|
IP
|
$5,575.00
|
|
| Hospital Charge Code |
270661999
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$836.25 |
| Max. Negotiated Rate |
$836.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$836.25
|
|
|
NEEDLE ASPIRATION EUS 25G-5002
|
Facility
|
IP
|
$5,575.00
|
|
| Hospital Charge Code |
27066199
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$836.25 |
| Max. Negotiated Rate |
$836.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$836.25
|
|
|
NEEDLE ASPIRATION EUS 25G-5002
|
Facility
|
OP
|
$5,575.00
|
|
| Hospital Charge Code |
27066199
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$134.36 |
| Max. Negotiated Rate |
$2,787.50 |
| Rate for Payer: Aetna Commercial |
$2,118.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,672.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,421.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,421.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,421.62
|
| Rate for Payer: Cigna Commercial |
$2,787.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,672.50
|
| Rate for Payer: Oxford Commercial |
$1,115.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$836.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,115.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$134.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$147.74
|
|
|
NEEDLE ASPIRATION EUS 25G-5002
|
Facility
|
OP
|
$5,575.00
|
|
| Hospital Charge Code |
270661999
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$134.36 |
| Max. Negotiated Rate |
$2,787.50 |
| Rate for Payer: Aetna Commercial |
$2,118.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,672.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,421.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,421.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,421.62
|
| Rate for Payer: Cigna Commercial |
$2,787.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,672.50
|
| Rate for Payer: Oxford Commercial |
$1,115.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$836.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,115.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$134.36
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$147.74
|
|
|
NEEDLE ASPIRATION SLIMLINE 19G
|
Facility
|
OP
|
$2,169.70
|
|
| Hospital Charge Code |
270677719
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$52.29 |
| Max. Negotiated Rate |
$1,084.85 |
| Rate for Payer: Aetna Commercial |
$824.49
|
| Rate for Payer: Aetna Medicare Advantage |
$650.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$553.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$553.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$553.27
|
| Rate for Payer: Cigna Commercial |
$1,084.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$650.91
|
| Rate for Payer: Oxford Commercial |
$433.94
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$325.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$433.94
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$57.50
|
|
|
NEEDLE ASPIRATION SLIMLINE 19G
|
Facility
|
IP
|
$2,169.70
|
|
| Hospital Charge Code |
270677719
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$325.45 |
| Max. Negotiated Rate |
$325.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$325.45
|
|
|
NEEDLE ASPIR SLIMLINE 22 GA
|
Facility
|
IP
|
$1,087.70
|
|
| Hospital Charge Code |
270679459
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$163.16 |
| Max. Negotiated Rate |
$163.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$163.16
|
|