|
NEEDLE SPINAL CHB 22x3.5 18369
|
Facility
|
IP
|
$26.00
|
|
| Hospital Charge Code |
270632101
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.90 |
| Max. Negotiated Rate |
$3.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.90
|
|
|
NEEDLE SPINAL CHB 22x3.5 18369
|
Facility
|
OP
|
$26.00
|
|
| Hospital Charge Code |
270632101
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.63 |
| Max. Negotiated Rate |
$13.00 |
| Rate for Payer: Aetna Commercial |
$9.88
|
| Rate for Payer: Aetna Medicare Advantage |
$7.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.63
|
| Rate for Payer: Cigna Commercial |
$13.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.80
|
| Rate for Payer: Oxford Commercial |
$5.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.69
|
|
|
NEEDLE SPINAL CHIBA 22G 6
|
Facility
|
IP
|
$52.76
|
|
| Hospital Charge Code |
270658291
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$7.91 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.91
|
|
|
NEEDLE SPINAL CHIBA 22G 6
|
Facility
|
OP
|
$52.76
|
|
| Hospital Charge Code |
270658291
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.27 |
| Max. Negotiated Rate |
$26.38 |
| Rate for Payer: Aetna Commercial |
$20.05
|
| Rate for Payer: Aetna Medicare Advantage |
$15.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.45
|
| Rate for Payer: Cigna Commercial |
$26.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.83
|
| Rate for Payer: Oxford Commercial |
$10.55
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.91
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.55
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.40
|
|
|
NEEDLE SPINAL DISP 22G X 3 1/2
|
Facility
|
IP
|
$16.00
|
|
| Hospital Charge Code |
270331171
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$2.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.40
|
|
|
NEEDLE SPINAL DISP 22G X 3 1/2
|
Facility
|
OP
|
$16.00
|
|
| Hospital Charge Code |
270331171
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$8.00 |
| Rate for Payer: Aetna Commercial |
$6.08
|
| Rate for Payer: Aetna Medicare Advantage |
$4.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.08
|
| Rate for Payer: Cigna Commercial |
$8.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.80
|
| Rate for Payer: Oxford Commercial |
$3.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.42
|
|
|
NEEDLE SPINAL QUINCKE 22G 7
|
Facility
|
IP
|
$19.63
|
|
| Hospital Charge Code |
270613638
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.94 |
| Max. Negotiated Rate |
$2.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.94
|
|
|
NEEDLE SPINAL QUINCKE 22G 7
|
Facility
|
OP
|
$19.63
|
|
| Hospital Charge Code |
270613638
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.47 |
| Max. Negotiated Rate |
$9.81 |
| Rate for Payer: Aetna Commercial |
$7.46
|
| Rate for Payer: Aetna Medicare Advantage |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.01
|
| Rate for Payer: Cigna Commercial |
$9.81
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.89
|
| Rate for Payer: Oxford Commercial |
$3.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.93
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.52
|
|
|
NEEDLE SPINAL WHITACRE
|
Facility
|
OP
|
$35.35
|
|
| Hospital Charge Code |
270658893
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.85 |
| Max. Negotiated Rate |
$17.68 |
| Rate for Payer: Aetna Commercial |
$13.43
|
| Rate for Payer: Aetna Medicare Advantage |
$10.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.01
|
| Rate for Payer: Cigna Commercial |
$17.68
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.61
|
| Rate for Payer: Oxford Commercial |
$7.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.07
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.94
|
|
|
NEEDLE SPINAL WHITACRE
|
Facility
|
IP
|
$35.35
|
|
| Hospital Charge Code |
270658893
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.30 |
| Max. Negotiated Rate |
$5.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.30
|
|
|
NEEDLE SPINE STRL 22 X 3 1/2
|
Facility
|
OP
|
$6.74
|
|
| Hospital Charge Code |
27020065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.16 |
| Max. Negotiated Rate |
$3.37 |
| Rate for Payer: Aetna Commercial |
$2.56
|
| Rate for Payer: Aetna Medicare Advantage |
$2.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.72
|
| Rate for Payer: Cigna Commercial |
$3.37
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.02
|
| Rate for Payer: Oxford Commercial |
$1.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.18
|
|
|
NEEDLE SPINE STRL 22 X 3 1/2
|
Facility
|
IP
|
$6.74
|
|
| Hospital Charge Code |
27020065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.01 |
| Max. Negotiated Rate |
$1.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.01
|
|
|
NEEDLE SPNAL BIO 22GAX20CM
|
Facility
|
IP
|
$160.00
|
|
| Hospital Charge Code |
270658293
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.00
|
|
|
NEEDLE SPNAL BIO 22GAX20CM
|
Facility
|
OP
|
$160.00
|
|
| Hospital Charge Code |
270658293
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.86 |
| Max. Negotiated Rate |
$80.00 |
| Rate for Payer: Aetna Commercial |
$60.80
|
| Rate for Payer: Aetna Medicare Advantage |
$48.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$40.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$40.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$40.80
|
| Rate for Payer: Cigna Commercial |
$80.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$48.00
|
| Rate for Payer: Oxford Commercial |
$32.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$32.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.24
|
|
|
NEEDLE SPROTE 24G 3 1/2 333741
|
Facility
|
OP
|
$40.05
|
|
| Hospital Charge Code |
270616983
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.97 |
| Max. Negotiated Rate |
$20.02 |
| Rate for Payer: Aetna Commercial |
$15.22
|
| Rate for Payer: Aetna Medicare Advantage |
$12.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.21
|
| Rate for Payer: Cigna Commercial |
$20.02
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.02
|
| Rate for Payer: Oxford Commercial |
$8.01
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$8.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.06
|
|
|
NEEDLE SPROTE 24G 3 1/2 333741
|
Facility
|
IP
|
$40.05
|
|
| Hospital Charge Code |
270616983
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.01 |
| Max. Negotiated Rate |
$6.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.01
|
|
|
NEEDLES-SURGICAL
|
Facility
|
IP
|
$462.00
|
|
| Hospital Charge Code |
270339052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$69.30 |
| Max. Negotiated Rate |
$69.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.30
|
|
|
NEEDLES-SURGICAL
|
Facility
|
OP
|
$462.00
|
|
| Hospital Charge Code |
270339052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.13 |
| Max. Negotiated Rate |
$231.00 |
| Rate for Payer: Aetna Commercial |
$175.56
|
| Rate for Payer: Aetna Medicare Advantage |
$138.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$117.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$117.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$117.81
|
| Rate for Payer: Cigna Commercial |
$231.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$138.60
|
| Rate for Payer: Oxford Commercial |
$92.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$92.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.24
|
|
|
NEEDLE ST 8 PATHSEEKER 214652
|
Facility
|
OP
|
$2,730.00
|
|
| Hospital Charge Code |
270637607
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$65.79 |
| Max. Negotiated Rate |
$1,365.00 |
| Rate for Payer: Aetna Commercial |
$1,037.40
|
| Rate for Payer: Aetna Medicare Advantage |
$819.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$696.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$696.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$696.15
|
| Rate for Payer: Cigna Commercial |
$1,365.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$819.00
|
| Rate for Payer: Oxford Commercial |
$546.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$409.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$546.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$65.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$72.34
|
|
|
NEEDLE ST 8 PATHSEEKER 214652
|
Facility
|
IP
|
$2,730.00
|
|
| Hospital Charge Code |
270637607
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$409.50 |
| Max. Negotiated Rate |
$409.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$409.50
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
OP
|
$376.85
|
|
| Hospital Charge Code |
270601195
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.08 |
| Max. Negotiated Rate |
$188.43 |
| Rate for Payer: Aetna Commercial |
$143.20
|
| Rate for Payer: Aetna Medicare Advantage |
$113.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$96.10
|
| Rate for Payer: Cigna Commercial |
$188.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$113.06
|
| Rate for Payer: Oxford Commercial |
$75.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.99
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
IP
|
$376.85
|
|
| Hospital Charge Code |
270601195V
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.53 |
| Max. Negotiated Rate |
$56.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
IP
|
$376.85
|
|
| Hospital Charge Code |
270601195
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.53 |
| Max. Negotiated Rate |
$56.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
OP
|
$376.85
|
|
| Hospital Charge Code |
270601195V
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.08 |
| Max. Negotiated Rate |
$188.43 |
| Rate for Payer: Aetna Commercial |
$143.20
|
| Rate for Payer: Aetna Medicare Advantage |
$113.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$96.10
|
| Rate for Payer: Cigna Commercial |
$188.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$113.06
|
| Rate for Payer: Oxford Commercial |
$75.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.99
|
|
|
NEEDLE STIMUPLE 22X2
|
Facility
|
OP
|
$65.30
|
|
| Hospital Charge Code |
270669693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$32.65 |
| Rate for Payer: Aetna Commercial |
$24.81
|
| Rate for Payer: Aetna Medicare Advantage |
$19.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.65
|
| Rate for Payer: Cigna Commercial |
$32.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.59
|
| Rate for Payer: Oxford Commercial |
$13.06
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.06
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.73
|
|