|
NEEDLE TROCAR 9006779
|
Facility
|
OP
|
$53.10
|
|
| Hospital Charge Code |
270654378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.28 |
| Max. Negotiated Rate |
$26.55 |
| Rate for Payer: Aetna Commercial |
$20.18
|
| Rate for Payer: Aetna Medicare Advantage |
$15.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.54
|
| Rate for Payer: Cigna Commercial |
$26.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.93
|
| Rate for Payer: Oxford Commercial |
$10.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.62
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.41
|
|
|
NEEDLE TROCAR 9006779
|
Facility
|
IP
|
$53.10
|
|
| Hospital Charge Code |
270654378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.96 |
| Max. Negotiated Rate |
$7.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.96
|
|
|
NEEDLE TRU-CUT BIOPSY 14G X 6
|
Facility
|
OP
|
$78.38
|
|
| Hospital Charge Code |
270650033
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.89 |
| Max. Negotiated Rate |
$39.19 |
| Rate for Payer: Aetna Commercial |
$29.78
|
| Rate for Payer: Aetna Medicare Advantage |
$23.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.99
|
| Rate for Payer: Cigna Commercial |
$39.19
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$23.51
|
| Rate for Payer: Oxford Commercial |
$15.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.76
|
| Rate for Payer: UnitedHealthcare Commercial |
$15.68
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.89
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.08
|
|
|
NEEDLE TRU-CUT BIOPSY 14G X 6
|
Facility
|
IP
|
$78.38
|
|
| Hospital Charge Code |
270650033
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.76 |
| Max. Negotiated Rate |
$11.76 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.76
|
|
|
NEEDLE TRU-CUT BIOPSY 4.5
|
Facility
|
IP
|
$76.88
|
|
| Hospital Charge Code |
270301265
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$11.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.53
|
|
|
NEEDLE TRU-CUT BIOPSY 4.5
|
Facility
|
OP
|
$76.88
|
|
| Hospital Charge Code |
270301265
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.85 |
| Max. Negotiated Rate |
$38.44 |
| Rate for Payer: Aetna Commercial |
$29.21
|
| Rate for Payer: Aetna Medicare Advantage |
$23.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.60
|
| Rate for Payer: Cigna Commercial |
$38.44
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$23.06
|
| Rate for Payer: Oxford Commercial |
$15.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$15.38
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.04
|
|
|
NEEDLE TRU-CUT BIOPSY 4.5-6***
|
Facility
|
IP
|
$314.00
|
|
| Hospital Charge Code |
8001430
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$47.10 |
| Max. Negotiated Rate |
$47.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.10
|
|
|
NEEDLE TRU-CUT BIOPSY 4.5-6***
|
Facility
|
OP
|
$314.00
|
|
| Hospital Charge Code |
8001430
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$7.57 |
| Max. Negotiated Rate |
$157.00 |
| Rate for Payer: Aetna Commercial |
$119.32
|
| Rate for Payer: Aetna Medicare Advantage |
$94.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$80.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$80.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$80.07
|
| Rate for Payer: Cigna Commercial |
$157.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$94.20
|
| Rate for Payer: Oxford Commercial |
$62.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$62.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.32
|
|
|
NEEDLE TRU-CUT BIOPSY 6.0
|
Facility
|
OP
|
$85.65
|
|
| Hospital Charge Code |
270301271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.06 |
| Max. Negotiated Rate |
$42.83 |
| Rate for Payer: Aetna Commercial |
$32.55
|
| Rate for Payer: Aetna Medicare Advantage |
$25.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.84
|
| Rate for Payer: Cigna Commercial |
$42.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.70
|
| Rate for Payer: Oxford Commercial |
$17.13
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.27
|
|
|
NEEDLE TRU-CUT BIOPSY 6.0
|
Facility
|
IP
|
$85.65
|
|
| Hospital Charge Code |
270301271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.85 |
| Max. Negotiated Rate |
$12.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.85
|
|
|
NEEDLE TRU GUIDE
|
Facility
|
OP
|
$52.90
|
|
| Hospital Charge Code |
2709000651
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.27 |
| Max. Negotiated Rate |
$26.45 |
| Rate for Payer: Aetna Commercial |
$20.10
|
| Rate for Payer: Aetna Medicare Advantage |
$15.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.49
|
| Rate for Payer: Cigna Commercial |
$26.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.87
|
| Rate for Payer: Oxford Commercial |
$10.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.58
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.40
|
|
|
NEEDLE TRU GUIDE
|
Facility
|
IP
|
$52.90
|
|
| Hospital Charge Code |
2709000651
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$7.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
IP
|
$10.57
|
|
| Hospital Charge Code |
270624456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.59 |
| Max. Negotiated Rate |
$1.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
IP
|
$10.58
|
|
| Hospital Charge Code |
270626053
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.59 |
| Max. Negotiated Rate |
$1.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
OP
|
$10.57
|
|
| Hospital Charge Code |
270624456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$5.29 |
| Rate for Payer: Aetna Commercial |
$4.02
|
| Rate for Payer: Aetna Medicare Advantage |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.70
|
| Rate for Payer: Cigna Commercial |
$5.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.17
|
| Rate for Payer: Oxford Commercial |
$2.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.11
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.28
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
OP
|
$10.58
|
|
| Hospital Charge Code |
270626053
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$5.29 |
| Rate for Payer: Aetna Commercial |
$4.02
|
| Rate for Payer: Aetna Medicare Advantage |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.70
|
| Rate for Payer: Cigna Commercial |
$5.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.17
|
| Rate for Payer: Oxford Commercial |
$2.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.12
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.28
|
|
|
NEEDLE TRUGUIDE 13G 13.5cm
|
Facility
|
OP
|
$62.10
|
|
| Hospital Charge Code |
270628527
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.50 |
| Max. Negotiated Rate |
$31.05 |
| Rate for Payer: Aetna Commercial |
$23.60
|
| Rate for Payer: Aetna Medicare Advantage |
$18.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.84
|
| Rate for Payer: Cigna Commercial |
$31.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.63
|
| Rate for Payer: Oxford Commercial |
$12.42
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.31
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.42
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.65
|
|
|
NEEDLE TRUGUIDE 13G 13.5cm
|
Facility
|
IP
|
$62.10
|
|
| Hospital Charge Code |
270628527
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.31 |
| Max. Negotiated Rate |
$9.31 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.31
|
|
|
NEEDLE TRUGUIDE 13G 7.8cm
|
Facility
|
IP
|
$230.49
|
|
| Hospital Charge Code |
270628526
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.57 |
| Max. Negotiated Rate |
$34.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.57
|
|
|
NEEDLE TRUGUIDE 13G 7.8cm
|
Facility
|
OP
|
$230.49
|
|
| Hospital Charge Code |
270628526
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.55 |
| Max. Negotiated Rate |
$115.25 |
| Rate for Payer: Aetna Commercial |
$87.59
|
| Rate for Payer: Aetna Medicare Advantage |
$69.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.77
|
| Rate for Payer: Cigna Commercial |
$115.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$69.15
|
| Rate for Payer: Oxford Commercial |
$46.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$46.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.11
|
|
|
NEEDLE TRUGUIDE 17G 13.8cm
|
Facility
|
IP
|
$60.82
|
|
| Hospital Charge Code |
270624455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.12 |
| Max. Negotiated Rate |
$9.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.12
|
|
|
NEEDLE TRUGUIDE 17G 13.8cm
|
Facility
|
OP
|
$60.82
|
|
| Hospital Charge Code |
270624455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.47 |
| Max. Negotiated Rate |
$30.41 |
| Rate for Payer: Aetna Commercial |
$23.11
|
| Rate for Payer: Aetna Medicare Advantage |
$18.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.51
|
| Rate for Payer: Cigna Commercial |
$30.41
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.25
|
| Rate for Payer: Oxford Commercial |
$12.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.16
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.61
|
|
|
NEEDLE TRUGUIDE 17G 17.8cm
|
Facility
|
OP
|
$55.55
|
|
| Hospital Charge Code |
270627539
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.34 |
| Max. Negotiated Rate |
$27.77 |
| Rate for Payer: Aetna Commercial |
$21.11
|
| Rate for Payer: Aetna Medicare Advantage |
$16.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14.17
|
| Rate for Payer: Cigna Commercial |
$27.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.66
|
| Rate for Payer: Oxford Commercial |
$11.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.11
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.47
|
|
|
NEEDLE TRUGUIDE 17G 17.8cm
|
Facility
|
IP
|
$55.55
|
|
| Hospital Charge Code |
270627539
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.33 |
| Max. Negotiated Rate |
$8.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.33
|
|
|
NEEDLE TRUGUIDE 18g 10CM
|
Facility
|
OP
|
$10.57
|
|
| Hospital Charge Code |
270631206
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$5.29 |
| Rate for Payer: Aetna Commercial |
$4.02
|
| Rate for Payer: Aetna Medicare Advantage |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.70
|
| Rate for Payer: Cigna Commercial |
$5.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.17
|
| Rate for Payer: Oxford Commercial |
$2.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.11
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.28
|
|