|
REAMER LINDEMANN L 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.38 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$163.59
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.15
|
| Rate for Payer: Oxford Commercial |
$86.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$86.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.41
|
|
|
REAMER LINDEMANN M 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674489
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LINDEMANN M 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674489
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.38 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$163.59
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.15
|
| Rate for Payer: Oxford Commercial |
$86.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$86.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.41
|
|
|
REAMER LINDEMANN S 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.38 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$163.59
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.15
|
| Rate for Payer: Oxford Commercial |
$86.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$86.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.41
|
|
|
REAMER LINDEMANN S 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LONG CANN 3.2MM
|
Facility
|
IP
|
$812.50
|
|
| Hospital Charge Code |
270698516
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.88 |
| Max. Negotiated Rate |
$121.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$121.88
|
|
|
REAMER LONG CANN 3.2MM
|
Facility
|
OP
|
$812.50
|
|
| Hospital Charge Code |
270698516
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.58 |
| Max. Negotiated Rate |
$406.25 |
| Rate for Payer: Aetna Commercial |
$308.75
|
| Rate for Payer: Aetna Medicare Advantage |
$243.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$207.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$207.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$207.19
|
| Rate for Payer: Cigna Commercial |
$406.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$243.75
|
| Rate for Payer: Oxford Commercial |
$162.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$121.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$162.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21.53
|
|
|
REAMER LONG CANN 4.0MM
|
Facility
|
IP
|
$1,218.75
|
|
| Hospital Charge Code |
270698974
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$182.81 |
| Max. Negotiated Rate |
$182.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$182.81
|
|
|
REAMER LONG CANN 4.0MM
|
Facility
|
OP
|
$1,218.75
|
|
| Hospital Charge Code |
270698974
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.37 |
| Max. Negotiated Rate |
$609.38 |
| Rate for Payer: Aetna Commercial |
$463.12
|
| Rate for Payer: Aetna Medicare Advantage |
$365.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$310.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$310.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$310.78
|
| Rate for Payer: Cigna Commercial |
$609.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$365.62
|
| Rate for Payer: Oxford Commercial |
$243.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$182.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$243.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$29.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$32.30
|
|
|
REAMER LOW PROFILE 10.5MM STER
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270678477
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 10.5MM STER
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270678477
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.50 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.84
|
|
|
REAMER LOW PROFILE 10MM STR
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270646570
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 10MM STR
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270646570
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.50 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.84
|
|
|
REAMER LOW PROFILE 11MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270675209
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 11MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270675209
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.50 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.84
|
|
|
REAMER LOW PROFILE 8MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270678476
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 8MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270678476
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.50 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.84
|
|
|
REAMER LOW PROFILE 9MM
|
Facility
|
IP
|
$2,175.00
|
|
| Hospital Charge Code |
270668500
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$326.25 |
| Max. Negotiated Rate |
$326.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$326.25
|
|
|
REAMER LOW PROFILE 9MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270675208
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 9MM
|
Facility
|
OP
|
$2,175.00
|
|
| Hospital Charge Code |
270668500
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$52.42 |
| Max. Negotiated Rate |
$1,087.50 |
| Rate for Payer: Aetna Commercial |
$826.50
|
| Rate for Payer: Aetna Medicare Advantage |
$652.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$554.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$554.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$554.62
|
| Rate for Payer: Cigna Commercial |
$1,087.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$652.50
|
| Rate for Payer: Oxford Commercial |
$435.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$326.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$435.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.42
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$57.64
|
|
|
REAMER LOW PROFILE 9MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270675208
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.50 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.84
|
|
|
REAMER MEDULLARY 12.5mm
|
Facility
|
OP
|
$1,248.00
|
|
| Hospital Charge Code |
270656602
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.08 |
| Max. Negotiated Rate |
$624.00 |
| Rate for Payer: Aetna Commercial |
$474.24
|
| Rate for Payer: Aetna Medicare Advantage |
$374.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$318.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$318.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$318.24
|
| Rate for Payer: Cigna Commercial |
$624.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$374.40
|
| Rate for Payer: Oxford Commercial |
$249.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$249.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.07
|
|
|
REAMER MEDULLARY 12.5mm
|
Facility
|
IP
|
$1,248.00
|
|
| Hospital Charge Code |
270656602
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$187.20 |
| Max. Negotiated Rate |
$187.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.20
|
|
|
REAMER MEDULLARY 8.5mm
|
Facility
|
OP
|
$1,324.00
|
|
| Hospital Charge Code |
270682876
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.91 |
| Max. Negotiated Rate |
$662.00 |
| Rate for Payer: Aetna Commercial |
$503.12
|
| Rate for Payer: Aetna Medicare Advantage |
$397.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$337.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$337.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$337.62
|
| Rate for Payer: Cigna Commercial |
$662.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$397.20
|
| Rate for Payer: Oxford Commercial |
$264.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$198.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$264.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$31.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35.09
|
|
|
REAMER MEDULLARY 8.5mm
|
Facility
|
IP
|
$1,324.00
|
|
| Hospital Charge Code |
270682876
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$198.60 |
| Max. Negotiated Rate |
$198.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$198.60
|
|