|
NEEDLE BIOPSY 19G 5CM 259466
|
Facility
|
OP
|
$24.85
|
|
| Hospital Charge Code |
270600439
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.60 |
| Max. Negotiated Rate |
$12.43 |
| Rate for Payer: Aetna Commercial |
$9.44
|
| Rate for Payer: Aetna Medicare Advantage |
$7.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.34
|
| Rate for Payer: Cigna Commercial |
$12.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.46
|
| Rate for Payer: Oxford Commercial |
$4.97
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.66
|
|
|
NEEDLE BIOPSY 19G 5CM 259466
|
Facility
|
IP
|
$24.85
|
|
| Hospital Charge Code |
270600439
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$3.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
|
|
NEEDLE BIOPSY 20 GA X 11 CM
|
Facility
|
OP
|
$300.57
|
|
| Hospital Charge Code |
270684059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.24 |
| Max. Negotiated Rate |
$150.28 |
| Rate for Payer: Aetna Commercial |
$114.22
|
| Rate for Payer: Aetna Medicare Advantage |
$90.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.65
|
| Rate for Payer: Cigna Commercial |
$150.28
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.17
|
| Rate for Payer: Oxford Commercial |
$60.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$60.11
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.97
|
|
|
NEEDLE BIOPSY 20 GA X 11 CM
|
Facility
|
IP
|
$300.57
|
|
| Hospital Charge Code |
270684059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.09 |
| Max. Negotiated Rate |
$45.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.09
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
IP
|
$285.77
|
|
| Hospital Charge Code |
270665761R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.87 |
| Max. Negotiated Rate |
$42.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
OP
|
$285.77
|
|
| Hospital Charge Code |
270665761
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.89 |
| Max. Negotiated Rate |
$142.88 |
| Rate for Payer: Aetna Commercial |
$108.59
|
| Rate for Payer: Aetna Medicare Advantage |
$85.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$72.87
|
| Rate for Payer: Cigna Commercial |
$142.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$85.73
|
| Rate for Payer: Oxford Commercial |
$57.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$57.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.57
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
OP
|
$285.77
|
|
| Hospital Charge Code |
270665761R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.89 |
| Max. Negotiated Rate |
$142.88 |
| Rate for Payer: Aetna Commercial |
$108.59
|
| Rate for Payer: Aetna Medicare Advantage |
$85.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$72.87
|
| Rate for Payer: Cigna Commercial |
$142.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$85.73
|
| Rate for Payer: Oxford Commercial |
$57.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$57.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.57
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
IP
|
$285.77
|
|
| Hospital Charge Code |
270665761
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.87 |
| Max. Negotiated Rate |
$42.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
|
|
NEEDLE BIOPSY 20X20 W/I TEMNO
|
Facility
|
IP
|
$301.99
|
|
| Hospital Charge Code |
270683766
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.30 |
| Max. Negotiated Rate |
$45.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.30
|
|
|
NEEDLE BIOPSY 20X20 W/I TEMNO
|
Facility
|
OP
|
$301.99
|
|
| Hospital Charge Code |
270683766
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.28 |
| Max. Negotiated Rate |
$151.00 |
| Rate for Payer: Aetna Commercial |
$114.76
|
| Rate for Payer: Aetna Medicare Advantage |
$90.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$77.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$77.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$77.01
|
| Rate for Payer: Cigna Commercial |
$151.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.60
|
| Rate for Payer: Oxford Commercial |
$60.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$60.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.00
|
|
|
NEEDLE BIOPSY 21G 15CM 259462
|
Facility
|
IP
|
$24.85
|
|
| Hospital Charge Code |
270600440
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$3.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
|
|
NEEDLE BIOPSY 21G 15CM 259462
|
Facility
|
OP
|
$24.85
|
|
| Hospital Charge Code |
270600440
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.60 |
| Max. Negotiated Rate |
$12.43 |
| Rate for Payer: Aetna Commercial |
$9.44
|
| Rate for Payer: Aetna Medicare Advantage |
$7.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.34
|
| Rate for Payer: Cigna Commercial |
$12.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.46
|
| Rate for Payer: Oxford Commercial |
$4.97
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.66
|
|
|
NEEDLE BIOPSY 22X15 G01278
|
Facility
|
IP
|
$126.70
|
|
| Hospital Charge Code |
270661640
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.00 |
| Max. Negotiated Rate |
$19.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.00
|
|
|
NEEDLE BIOPSY 22X15 G01278
|
Facility
|
OP
|
$126.70
|
|
| Hospital Charge Code |
270661640
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.05 |
| Max. Negotiated Rate |
$63.35 |
| Rate for Payer: Aetna Commercial |
$48.15
|
| Rate for Payer: Aetna Medicare Advantage |
$38.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.31
|
| Rate for Payer: Cigna Commercial |
$63.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$38.01
|
| Rate for Payer: Oxford Commercial |
$25.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.34
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.36
|
|
|
NEEDLE BIOPSY ASPIR ILIAC 18G
|
Facility
|
OP
|
$48.51
|
|
| Hospital Charge Code |
270630764
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.17 |
| Max. Negotiated Rate |
$24.25 |
| Rate for Payer: Aetna Commercial |
$18.43
|
| Rate for Payer: Aetna Medicare Advantage |
$14.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12.37
|
| Rate for Payer: Cigna Commercial |
$24.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.55
|
| Rate for Payer: Oxford Commercial |
$9.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.28
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.29
|
|
|
NEEDLE BIOPSY ASPIR ILIAC 18G
|
Facility
|
IP
|
$48.51
|
|
| Hospital Charge Code |
270630764
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.28 |
| Max. Negotiated Rate |
$7.28 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.28
|
|
|
NEEDLE BIOPSY CHIBA 18G X 10CM
|
Facility
|
OP
|
$59.50
|
|
| Hospital Charge Code |
270624259
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.43 |
| Max. Negotiated Rate |
$29.75 |
| Rate for Payer: Aetna Commercial |
$22.61
|
| Rate for Payer: Aetna Medicare Advantage |
$17.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.17
|
| Rate for Payer: Cigna Commercial |
$29.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.85
|
| Rate for Payer: Oxford Commercial |
$11.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.58
|
|
|
NEEDLE BIOPSY CHIBA 18G X 10CM
|
Facility
|
IP
|
$59.50
|
|
| Hospital Charge Code |
270624259
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.93 |
| Max. Negotiated Rate |
$8.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.93
|
|
|
NEEDLE BIOPSY CHIBA 18G X 15CM
|
Facility
|
OP
|
$59.50
|
|
| Hospital Charge Code |
270624257N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.43 |
| Max. Negotiated Rate |
$29.75 |
| Rate for Payer: Aetna Commercial |
$22.61
|
| Rate for Payer: Aetna Medicare Advantage |
$17.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.17
|
| Rate for Payer: Cigna Commercial |
$29.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.85
|
| Rate for Payer: Oxford Commercial |
$11.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.58
|
|
|
NEEDLE BIOPSY CHIBA 18G X 15CM
|
Facility
|
IP
|
$59.50
|
|
| Hospital Charge Code |
270624257N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.93 |
| Max. Negotiated Rate |
$8.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.93
|
|
|
NEEDLE BIOPSY CHIBA 18G X 15CM
|
Facility
|
OP
|
$54.60
|
|
| Hospital Charge Code |
270624257
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.32 |
| Max. Negotiated Rate |
$27.30 |
| Rate for Payer: Aetna Commercial |
$20.75
|
| Rate for Payer: Aetna Medicare Advantage |
$16.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.92
|
| Rate for Payer: Cigna Commercial |
$27.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.38
|
| Rate for Payer: Oxford Commercial |
$10.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.19
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.92
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.45
|
|
|
NEEDLE BIOPSY CHIBA 18G X 15CM
|
Facility
|
IP
|
$54.60
|
|
| Hospital Charge Code |
270624257
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.19 |
| Max. Negotiated Rate |
$8.19 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.19
|
|
|
NEEDLE BIOPSY CHIBA 18G X 20CM
|
Facility
|
OP
|
$59.50
|
|
| Hospital Charge Code |
270624258N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.43 |
| Max. Negotiated Rate |
$29.75 |
| Rate for Payer: Aetna Commercial |
$22.61
|
| Rate for Payer: Aetna Medicare Advantage |
$17.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.17
|
| Rate for Payer: Cigna Commercial |
$29.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.85
|
| Rate for Payer: Oxford Commercial |
$11.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.58
|
|
|
NEEDLE BIOPSY CHIBA 18G X 20CM
|
Facility
|
IP
|
$59.50
|
|
| Hospital Charge Code |
270624258N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.93 |
| Max. Negotiated Rate |
$8.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.93
|
|
|
NEEDLE BIOPSY CHIBA 18G X 20CM
|
Facility
|
IP
|
$54.60
|
|
| Hospital Charge Code |
270624258
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.19 |
| Max. Negotiated Rate |
$8.19 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.19
|
|