|
REAMER ONE STEP 11.5mm
|
Facility
|
IP
|
$2,950.00
|
|
| Hospital Charge Code |
270646654
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$442.50 |
| Max. Negotiated Rate |
$442.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$442.50
|
|
|
REAMER PATELA 35 W/PH 59799535
|
Facility
|
IP
|
$878.00
|
|
| Hospital Charge Code |
270633243
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.70 |
| Max. Negotiated Rate |
$131.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.70
|
|
|
REAMER PATELA 35 W/PH 59799535
|
Facility
|
OP
|
$878.00
|
|
| Hospital Charge Code |
270633243
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.16 |
| Max. Negotiated Rate |
$439.00 |
| Rate for Payer: Aetna Commercial |
$333.64
|
| Rate for Payer: Aetna Medicare Advantage |
$263.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$223.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$223.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$223.89
|
| Rate for Payer: Cigna Commercial |
$439.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$263.40
|
| Rate for Payer: Oxford Commercial |
$175.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.27
|
|
|
REAMER PATELA 38 W/PH 59799538
|
Facility
|
IP
|
$878.00
|
|
| Hospital Charge Code |
270633242
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.70 |
| Max. Negotiated Rate |
$131.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.70
|
|
|
REAMER PATELA 38 W/PH 59799538
|
Facility
|
OP
|
$878.00
|
|
| Hospital Charge Code |
270633242
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.16 |
| Max. Negotiated Rate |
$439.00 |
| Rate for Payer: Aetna Commercial |
$333.64
|
| Rate for Payer: Aetna Medicare Advantage |
$263.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$223.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$223.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$223.89
|
| Rate for Payer: Cigna Commercial |
$439.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$263.40
|
| Rate for Payer: Oxford Commercial |
$175.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.27
|
|
|
REAMER PATELLA SZ 46 59799546
|
Facility
|
IP
|
$878.00
|
|
| Hospital Charge Code |
270633882
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.70 |
| Max. Negotiated Rate |
$131.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.70
|
|
|
REAMER PATELLA SZ 46 59799546
|
Facility
|
OP
|
$878.00
|
|
| Hospital Charge Code |
270633882
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.16 |
| Max. Negotiated Rate |
$439.00 |
| Rate for Payer: Aetna Commercial |
$333.64
|
| Rate for Payer: Aetna Medicare Advantage |
$263.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$223.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$223.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$223.89
|
| Rate for Payer: Cigna Commercial |
$439.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$263.40
|
| Rate for Payer: Oxford Commercial |
$175.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.27
|
|
|
REAMER PATLA SZ41 W/P 59799541
|
Facility
|
IP
|
$730.50
|
|
| Hospital Charge Code |
270634605
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$109.58 |
| Max. Negotiated Rate |
$109.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.58
|
|
|
REAMER PATLA SZ41 W/P 59799541
|
Facility
|
OP
|
$730.50
|
|
| Hospital Charge Code |
270634605
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.61 |
| Max. Negotiated Rate |
$365.25 |
| Rate for Payer: Aetna Commercial |
$277.59
|
| Rate for Payer: Aetna Medicare Advantage |
$219.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$186.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$186.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$186.28
|
| Rate for Payer: Cigna Commercial |
$365.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$219.15
|
| Rate for Payer: Oxford Commercial |
$146.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$146.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.36
|
|
|
REAMER PATL SZ 51 W/P 59799551
|
Facility
|
IP
|
$730.50
|
|
| Hospital Charge Code |
270634655
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$109.58 |
| Max. Negotiated Rate |
$109.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.58
|
|
|
REAMER PATL SZ 51 W/P 59799551
|
Facility
|
OP
|
$730.50
|
|
| Hospital Charge Code |
270634655
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.61 |
| Max. Negotiated Rate |
$365.25 |
| Rate for Payer: Aetna Commercial |
$277.59
|
| Rate for Payer: Aetna Medicare Advantage |
$219.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$186.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$186.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$186.28
|
| Rate for Payer: Cigna Commercial |
$365.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$219.15
|
| Rate for Payer: Oxford Commercial |
$146.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$146.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.36
|
|
|
REAMER PHALANGEAL 16MM
|
Facility
|
IP
|
$2,250.00
|
|
| Hospital Charge Code |
270674088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$337.50 |
| Max. Negotiated Rate |
$337.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
|
|
REAMER PHALANGEAL 16MM
|
Facility
|
OP
|
$2,250.00
|
|
| Hospital Charge Code |
270674088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.23 |
| Max. Negotiated Rate |
$1,125.00 |
| Rate for Payer: Aetna Commercial |
$855.00
|
| Rate for Payer: Aetna Medicare Advantage |
$675.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$573.75
|
| Rate for Payer: Cigna Commercial |
$1,125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$675.00
|
| Rate for Payer: Oxford Commercial |
$450.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$450.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$54.23
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$59.62
|
|
|
REAMER PHALANGEAL 16MM
|
Facility
|
IP
|
$5,750.00
|
|
| Hospital Charge Code |
270669666
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$862.50 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$862.50
|
|
|
REAMER PHALANGEAL 16MM
|
Facility
|
OP
|
$5,750.00
|
|
| Hospital Charge Code |
270669666
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$138.57 |
| Max. Negotiated Rate |
$2,875.00 |
| Rate for Payer: Aetna Commercial |
$2,185.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,725.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,466.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,466.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,466.25
|
| Rate for Payer: Cigna Commercial |
$2,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,725.00
|
| Rate for Payer: Oxford Commercial |
$1,150.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$862.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$138.57
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$152.38
|
|
|
REAMER PILOTED HEADED 7.5MM
|
Facility
|
IP
|
$1,025.00
|
|
| Hospital Charge Code |
270674132
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$153.75 |
| Max. Negotiated Rate |
$153.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
|
|
REAMER PILOTED HEADED 7.5MM
|
Facility
|
OP
|
$1,025.00
|
|
| Hospital Charge Code |
270674132
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$512.50 |
| Rate for Payer: Aetna Commercial |
$389.50
|
| Rate for Payer: Aetna Medicare Advantage |
$307.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$261.38
|
| Rate for Payer: Cigna Commercial |
$512.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$307.50
|
| Rate for Payer: Oxford Commercial |
$205.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$205.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.16
|
|
|
REAMER PILOTED HEADED 8.5MM
|
Facility
|
OP
|
$1,465.00
|
|
| Hospital Charge Code |
270674131
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.31 |
| Max. Negotiated Rate |
$732.50 |
| Rate for Payer: Aetna Commercial |
$556.70
|
| Rate for Payer: Aetna Medicare Advantage |
$439.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$373.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$373.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$373.57
|
| Rate for Payer: Cigna Commercial |
$732.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$439.50
|
| Rate for Payer: Oxford Commercial |
$293.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$219.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$293.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$35.31
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$38.82
|
|
|
REAMER PILOTED HEADED 8.5MM
|
Facility
|
IP
|
$1,465.00
|
|
| Hospital Charge Code |
270674131
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$219.75 |
| Max. Negotiated Rate |
$219.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$219.75
|
|
|
REAMER PILOT HEADED 7MM
|
Facility
|
OP
|
$1,025.00
|
|
| Hospital Charge Code |
270675256
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$512.50 |
| Rate for Payer: Aetna Commercial |
$389.50
|
| Rate for Payer: Aetna Medicare Advantage |
$307.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$261.38
|
| Rate for Payer: Cigna Commercial |
$512.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$307.50
|
| Rate for Payer: Oxford Commercial |
$205.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$205.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.16
|
|
|
REAMER PILOT HEADED 7MM
|
Facility
|
IP
|
$1,025.00
|
|
| Hospital Charge Code |
270675256
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$153.75 |
| Max. Negotiated Rate |
$153.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
|
|
REAMER PILOT HEADED 8MM
|
Facility
|
OP
|
$1,025.00
|
|
| Hospital Charge Code |
270675258
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$512.50 |
| Rate for Payer: Aetna Commercial |
$389.50
|
| Rate for Payer: Aetna Medicare Advantage |
$307.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$261.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$261.38
|
| Rate for Payer: Cigna Commercial |
$512.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$307.50
|
| Rate for Payer: Oxford Commercial |
$205.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$205.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.16
|
|
|
REAMER PILOT HEADED 8MM
|
Facility
|
IP
|
$1,025.00
|
|
| Hospital Charge Code |
270675258
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$153.75 |
| Max. Negotiated Rate |
$153.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.75
|
|
|
REAMER PROXIMAL
|
Facility
|
IP
|
$2,009.80
|
|
| Hospital Charge Code |
270689912
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$301.47 |
| Max. Negotiated Rate |
$301.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$301.47
|
|
|
REAMER PROXIMAL
|
Facility
|
OP
|
$2,009.80
|
|
| Hospital Charge Code |
270689912
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.44 |
| Max. Negotiated Rate |
$1,004.90 |
| Rate for Payer: Aetna Commercial |
$763.72
|
| Rate for Payer: Aetna Medicare Advantage |
$602.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$512.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$512.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$512.50
|
| Rate for Payer: Cigna Commercial |
$1,004.90
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$602.94
|
| Rate for Payer: Oxford Commercial |
$401.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$301.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$401.96
|
| Rate for Payer: UnitedHealthcare Community & State |
$48.44
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$53.26
|
|