|
NEEDLE STIMUPLE 22X2
|
Facility
|
IP
|
$65.30
|
|
| Hospital Charge Code |
270669693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.79 |
| Max. Negotiated Rate |
$9.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.79
|
|
|
NEEDLE STIMUPLEX 22GX2
|
Facility
|
IP
|
$48.00
|
|
| Hospital Charge Code |
270645493
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$7.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.20
|
|
|
NEEDLE STIMUPLEX 22GX2
|
Facility
|
OP
|
$48.00
|
|
| Hospital Charge Code |
270645493
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.16 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Commercial |
$18.24
|
| Rate for Payer: Aetna Medicare Advantage |
$14.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12.24
|
| Rate for Payer: Cigna Commercial |
$24.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.40
|
| Rate for Payer: Oxford Commercial |
$9.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.27
|
|
|
NEEDLE STIMUPLEX 22 X 2
|
Facility
|
IP
|
$60.00
|
|
| Hospital Charge Code |
270664064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$9.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.00
|
|
|
NEEDLE STIMUPLEX 22 X 2
|
Facility
|
OP
|
$60.00
|
|
| Hospital Charge Code |
270664064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.45 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Commercial |
$22.80
|
| Rate for Payer: Aetna Medicare Advantage |
$18.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.30
|
| Rate for Payer: Cigna Commercial |
$30.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.00
|
| Rate for Payer: Oxford Commercial |
$12.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.59
|
|
|
NEEDLE STIMUPLEX A INSULATED
|
Facility
|
IP
|
$46.42
|
|
| Hospital Charge Code |
270648827
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.96 |
| Max. Negotiated Rate |
$6.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.96
|
|
|
NEEDLE STIMUPLEX A INSULATED
|
Facility
|
IP
|
$46.41
|
|
| Hospital Charge Code |
2704894502
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.96 |
| Max. Negotiated Rate |
$6.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.96
|
|
|
NEEDLE STIMUPLEX A INSULATED
|
Facility
|
OP
|
$46.41
|
|
| Hospital Charge Code |
2704894502
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.12 |
| Max. Negotiated Rate |
$23.20 |
| Rate for Payer: Aetna Commercial |
$17.64
|
| Rate for Payer: Aetna Medicare Advantage |
$13.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.83
|
| Rate for Payer: Cigna Commercial |
$23.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.92
|
| Rate for Payer: Oxford Commercial |
$9.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.28
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.23
|
|
|
NEEDLE STIMUPLEX A INSULATED
|
Facility
|
OP
|
$46.42
|
|
| Hospital Charge Code |
270648827
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.12 |
| Max. Negotiated Rate |
$23.21 |
| Rate for Payer: Aetna Commercial |
$17.64
|
| Rate for Payer: Aetna Medicare Advantage |
$13.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.84
|
| Rate for Payer: Cigna Commercial |
$23.21
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.93
|
| Rate for Payer: Oxford Commercial |
$9.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.28
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.12
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.23
|
|
|
NEEDLE STIMUPLEX ECHOG 20GAX4
|
Facility
|
IP
|
$70.94
|
|
| Hospital Charge Code |
270670065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.64 |
| Max. Negotiated Rate |
$10.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.64
|
|
|
NEEDLE STIMUPLEX ECHOG 20GAX4
|
Facility
|
OP
|
$70.94
|
|
| Hospital Charge Code |
270670065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.71 |
| Max. Negotiated Rate |
$35.47 |
| Rate for Payer: Aetna Commercial |
$26.96
|
| Rate for Payer: Aetna Medicare Advantage |
$21.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.09
|
| Rate for Payer: Cigna Commercial |
$35.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.28
|
| Rate for Payer: Oxford Commercial |
$14.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$14.19
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.88
|
|
|
NEEDLE SURGIPRO 6-0 P-10
|
Facility
|
IP
|
$16.69
|
|
| Hospital Charge Code |
270651324
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.50 |
| Max. Negotiated Rate |
$2.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.50
|
|
|
NEEDLE SURGIPRO 6-0 P-10
|
Facility
|
OP
|
$16.69
|
|
| Hospital Charge Code |
270651324
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$8.35 |
| Rate for Payer: Aetna Commercial |
$6.34
|
| Rate for Payer: Aetna Medicare Advantage |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.26
|
| Rate for Payer: Cigna Commercial |
$8.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.01
|
| Rate for Payer: Oxford Commercial |
$3.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.34
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.40
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.44
|
|
|
NEEDLE SUTURE PASS RP 360DEG
|
Facility
|
IP
|
$681.00
|
|
| Hospital Charge Code |
270676524
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$102.15 |
| Max. Negotiated Rate |
$102.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.15
|
|
|
NEEDLE SUTURE PASS RP 360DEG
|
Facility
|
OP
|
$681.00
|
|
| Hospital Charge Code |
270676524
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.41 |
| Max. Negotiated Rate |
$340.50 |
| Rate for Payer: Aetna Commercial |
$258.78
|
| Rate for Payer: Aetna Medicare Advantage |
$204.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$173.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$173.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$173.66
|
| Rate for Payer: Cigna Commercial |
$340.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$204.30
|
| Rate for Payer: Oxford Commercial |
$136.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$136.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$16.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.05
|
|
|
NEEDLE TRANSBRONCH 22G MW1224
|
Facility
|
IP
|
$374.45
|
|
| Hospital Charge Code |
270613681
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.17 |
| Max. Negotiated Rate |
$56.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.17
|
|
|
NEEDLE TRANSBRONCH 22G MW1224
|
Facility
|
OP
|
$374.45
|
|
| Hospital Charge Code |
270613681
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.02 |
| Max. Negotiated Rate |
$187.22 |
| Rate for Payer: Aetna Commercial |
$142.29
|
| Rate for Payer: Aetna Medicare Advantage |
$112.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.48
|
| Rate for Payer: Cigna Commercial |
$187.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$112.33
|
| Rate for Payer: Oxford Commercial |
$74.89
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$74.89
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.92
|
|
|
NEEDLE TRANSBRONCHIAL ASPIRAT
|
Facility
|
OP
|
$260.00
|
|
| Hospital Charge Code |
270660202
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.27 |
| Max. Negotiated Rate |
$130.00 |
| Rate for Payer: Aetna Commercial |
$98.80
|
| Rate for Payer: Aetna Medicare Advantage |
$78.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$66.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$66.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$66.30
|
| Rate for Payer: Cigna Commercial |
$130.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$78.00
|
| Rate for Payer: Oxford Commercial |
$52.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$52.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.89
|
|
|
NEEDLE TRANSBRONCHIAL ASPIRAT
|
Facility
|
IP
|
$260.00
|
|
| Hospital Charge Code |
270660202
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$39.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.00
|
|
|
NEEDLE TRANSPERIN 18G
|
Facility
|
OP
|
$553.65
|
|
| Hospital Charge Code |
270606716
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.34 |
| Max. Negotiated Rate |
$276.82 |
| Rate for Payer: Aetna Commercial |
$210.39
|
| Rate for Payer: Aetna Medicare Advantage |
$166.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$141.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$141.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$141.18
|
| Rate for Payer: Cigna Commercial |
$276.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$166.09
|
| Rate for Payer: Oxford Commercial |
$110.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$83.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$110.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.67
|
|
|
NEEDLE TRANSPERIN 18G
|
Facility
|
IP
|
$553.65
|
|
| Hospital Charge Code |
270606716
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$83.05 |
| Max. Negotiated Rate |
$83.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$83.05
|
|
|
NEEDLE TROCAR 18 10 G01458
|
Facility
|
OP
|
$12.15
|
|
| Hospital Charge Code |
270626906
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.29 |
| Max. Negotiated Rate |
$6.08 |
| Rate for Payer: Aetna Commercial |
$4.62
|
| Rate for Payer: Aetna Medicare Advantage |
$3.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.10
|
| Rate for Payer: Cigna Commercial |
$6.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.65
|
| Rate for Payer: Oxford Commercial |
$2.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.82
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.43
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.32
|
|
|
NEEDLE TROCAR 18 10 G01458
|
Facility
|
IP
|
$12.15
|
|
| Hospital Charge Code |
270626906
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.82 |
| Max. Negotiated Rate |
$1.82 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.82
|
|
|
NEEDLE TROCAR 9006778
|
Facility
|
OP
|
$295.00
|
|
| Hospital Charge Code |
270654242
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.11 |
| Max. Negotiated Rate |
$147.50 |
| Rate for Payer: Aetna Commercial |
$112.10
|
| Rate for Payer: Aetna Medicare Advantage |
$88.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$75.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$75.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$75.22
|
| Rate for Payer: Cigna Commercial |
$147.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$88.50
|
| Rate for Payer: Oxford Commercial |
$59.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$44.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$59.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.82
|
|
|
NEEDLE TROCAR 9006778
|
Facility
|
IP
|
$295.00
|
|
| Hospital Charge Code |
270654242
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.25 |
| Max. Negotiated Rate |
$44.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$44.25
|
|