|
NEEDLE SHORT VERSASTEP 14 GA
|
Facility
|
OP
|
$204.00
|
|
| Hospital Charge Code |
270690400
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.92 |
| Max. Negotiated Rate |
$102.00 |
| Rate for Payer: Aetna Commercial |
$77.52
|
| Rate for Payer: Aetna Medicare Advantage |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$52.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$52.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$52.02
|
| Rate for Payer: Cigna Commercial |
$102.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$61.20
|
| Rate for Payer: Oxford Commercial |
$40.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.41
|
|
|
NEEDLE SIDEKICK RIGID
|
Facility
|
OP
|
$225.00
|
|
| Hospital Charge Code |
270662271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.42 |
| Max. Negotiated Rate |
$112.50 |
| Rate for Payer: Aetna Commercial |
$85.50
|
| Rate for Payer: Aetna Medicare Advantage |
$67.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$57.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$57.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$57.38
|
| Rate for Payer: Cigna Commercial |
$112.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$67.50
|
| Rate for Payer: Oxford Commercial |
$45.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.42
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.96
|
|
|
NEEDLE SIDEKICK RIGID
|
Facility
|
IP
|
$225.00
|
|
| Hospital Charge Code |
270662271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.75 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
|
|
NEEDLE SILVERMAN
|
Facility
|
IP
|
$729.65
|
|
| Hospital Charge Code |
2708001463
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$109.45 |
| Max. Negotiated Rate |
$109.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.45
|
|
|
NEEDLE SILVERMAN
|
Facility
|
OP
|
$729.65
|
|
| Hospital Charge Code |
2708001463
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.58 |
| Max. Negotiated Rate |
$364.82 |
| Rate for Payer: Aetna Commercial |
$277.27
|
| Rate for Payer: Aetna Medicare Advantage |
$218.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$186.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$186.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$186.06
|
| Rate for Payer: Cigna Commercial |
$364.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$218.90
|
| Rate for Payer: Oxford Commercial |
$145.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$145.93
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.34
|
|
|
NEEDLE SLIMLINE 19 GA
|
Facility
|
OP
|
$2,164.27
|
|
| Hospital Charge Code |
270677060
|
|
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 SLIMLINE 19 GA
|
Facility
|
IP
|
$2,164.27
|
|
| Hospital Charge Code |
270677060
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$324.64 |
| Max. Negotiated Rate |
$324.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
|
|
NEEDLE SLIMLINE 25GA 2.4x1.52
|
Facility
|
OP
|
$1,034.65
|
|
| Hospital Charge Code |
270676158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.94 |
| Max. Negotiated Rate |
$517.33 |
| Rate for Payer: Aetna Commercial |
$393.17
|
| Rate for Payer: Aetna Medicare Advantage |
$310.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.84
|
| Rate for Payer: Cigna Commercial |
$517.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$310.39
|
| Rate for Payer: Oxford Commercial |
$206.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$206.93
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.42
|
|
|
NEEDLE SLIMLINE 25GA 2.4x1.52
|
Facility
|
IP
|
$1,034.65
|
|
| Hospital Charge Code |
270676158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$155.20 |
| Max. Negotiated Rate |
$155.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.20
|
|
|
NEEDLE SMART VASC ACCESS******
|
Facility
|
IP
|
$219.00
|
|
| Hospital Charge Code |
8003501
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$32.85 |
| Max. Negotiated Rate |
$32.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.85
|
|
|
NEEDLE SMART VASC ACCESS******
|
Facility
|
OP
|
$219.00
|
|
| Hospital Charge Code |
8003501
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$5.28 |
| Max. Negotiated Rate |
$109.50 |
| Rate for Payer: Aetna Commercial |
$83.22
|
| Rate for Payer: Aetna Medicare Advantage |
$65.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$55.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$55.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$55.84
|
| Rate for Payer: Cigna Commercial |
$109.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$65.70
|
| Rate for Payer: Oxford Commercial |
$43.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$43.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.80
|
|
|
NEEDLE SOFT TISSUE BX 20GX10CM
|
Facility
|
OP
|
$193.44
|
|
| Hospital Charge Code |
270660384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.66 |
| Max. Negotiated Rate |
$96.72 |
| Rate for Payer: Aetna Commercial |
$73.51
|
| Rate for Payer: Aetna Medicare Advantage |
$58.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.33
|
| Rate for Payer: Cigna Commercial |
$96.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$58.03
|
| Rate for Payer: Oxford Commercial |
$38.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$38.69
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.13
|
|
|
NEEDLE SOFT TISSUE BX 20GX10CM
|
Facility
|
IP
|
$193.44
|
|
| Hospital Charge Code |
270660384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.02 |
| Max. Negotiated Rate |
$29.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.02
|
|
|
NEEDLE SPINAL 150 CM GUIDEWIRE
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270688729
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.04 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$142.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.50
|
| Rate for Payer: Oxford Commercial |
$75.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.94
|
|
|
NEEDLE SPINAL 150 CM GUIDEWIRE
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270688729
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE SPINAL 150MM
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270688486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.04 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$142.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.50
|
| Rate for Payer: Oxford Commercial |
$75.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.04
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.94
|
|
|
NEEDLE SPINAL 150MM
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270688486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE SPINAL 18G/3 1/2 IN
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270601192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
|
|
NEEDLE SPINAL 18G/3 1/2 IN
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270601192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.18 |
| Max. Negotiated Rate |
$3.80 |
| Rate for Payer: Aetna Commercial |
$2.89
|
| Rate for Payer: Aetna Medicare Advantage |
$2.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.94
|
| Rate for Payer: Cigna Commercial |
$3.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.28
|
| Rate for Payer: Oxford Commercial |
$1.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.20
|
|
|
NEEDLE SPINAL 18G 3 405174
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270649428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.18 |
| Max. Negotiated Rate |
$3.80 |
| Rate for Payer: Aetna Commercial |
$2.89
|
| Rate for Payer: Aetna Medicare Advantage |
$2.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.94
|
| Rate for Payer: Cigna Commercial |
$3.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.28
|
| Rate for Payer: Oxford Commercial |
$1.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.20
|
|
|
NEEDLE SPINAL 18G 3 405174
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270649428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
|
|
NEEDLE SPINAL 18G 3 PINK
|
Facility
|
IP
|
$7.07
|
|
| Hospital Charge Code |
270650252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$1.06 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.06
|
|
|
NEEDLE SPINAL 18G 3 PINK
|
Facility
|
OP
|
$7.07
|
|
| Hospital Charge Code |
270650252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$3.54 |
| Rate for Payer: Aetna Commercial |
$2.69
|
| Rate for Payer: Aetna Medicare Advantage |
$2.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.80
|
| Rate for Payer: Cigna Commercial |
$3.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.12
|
| Rate for Payer: Oxford Commercial |
$1.41
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.06
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.41
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.19
|
|
|
NEEDLE SPINAL 18G 6 408360
|
Facility
|
OP
|
$18.36
|
|
| Hospital Charge Code |
270624952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$9.18 |
| Rate for Payer: Aetna Commercial |
$6.98
|
| Rate for Payer: Aetna Medicare Advantage |
$5.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.68
|
| Rate for Payer: Cigna Commercial |
$9.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.51
|
| Rate for Payer: Oxford Commercial |
$3.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.67
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.44
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.49
|
|
|
NEEDLE SPINAL 18G 6 408360
|
Facility
|
IP
|
$18.36
|
|
| Hospital Charge Code |
270624952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.75 |
| Max. Negotiated Rate |
$2.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.75
|
|