|
SAW BLADE 13x6.4/2.9x0.6MM REC
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674657
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 14.5x4x0.6MM REC SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674661
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.19 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.45
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.11
|
|
|
SAW BLADE 14.5x4x0.6MM REC SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674661
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 14x25x0.6MM CUT
|
Facility
|
OP
|
$290.50
|
|
| Hospital Charge Code |
270674808
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$145.25 |
| Rate for Payer: Aetna Commercial |
$110.39
|
| Rate for Payer: Aetna Medicare Advantage |
$87.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$74.08
|
| Rate for Payer: Cigna Commercial |
$145.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.15
|
| Rate for Payer: Oxford Commercial |
$58.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$58.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.70
|
|
|
SAW BLADE 14x25x0.6MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674827
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$121.03
|
| Rate for Payer: Aetna Medicare Advantage |
$95.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.22
|
| Rate for Payer: Cigna Commercial |
$159.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.55
|
| Rate for Payer: Oxford Commercial |
$63.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.44
|
|
|
SAW BLADE 14x25x0.6MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674808
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$43.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
|
|
SAW BLADE 14x25x0.6MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674827
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|
|
SAW BLADE 14x25x0.6MM CUT STR
|
Facility
|
OP
|
$332.50
|
|
| Hospital Charge Code |
270674828
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.01 |
| Max. Negotiated Rate |
$166.25 |
| Rate for Payer: Aetna Commercial |
$126.35
|
| Rate for Payer: Aetna Medicare Advantage |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$84.79
|
| Rate for Payer: Cigna Commercial |
$166.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.75
|
| Rate for Payer: Oxford Commercial |
$66.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.81
|
|
|
SAW BLADE 14x25x0.6MM CUT STR
|
Facility
|
IP
|
$332.50
|
|
| Hospital Charge Code |
270674828
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.88 |
| Max. Negotiated Rate |
$49.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
|
|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674831
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|
|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674831
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$121.03
|
| Rate for Payer: Aetna Medicare Advantage |
$95.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.22
|
| Rate for Payer: Cigna Commercial |
$159.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.55
|
| Rate for Payer: Oxford Commercial |
$63.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.44
|
|
|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674802
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$43.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
|
|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
OP
|
$290.50
|
|
| Hospital Charge Code |
270674802
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$145.25 |
| Rate for Payer: Aetna Commercial |
$110.39
|
| Rate for Payer: Aetna Medicare Advantage |
$87.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$74.08
|
| Rate for Payer: Cigna Commercial |
$145.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.15
|
| Rate for Payer: Oxford Commercial |
$58.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$58.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.70
|
|
|
SAW BLADE 14x50x0.6MM CUT STR
|
Facility
|
IP
|
$332.50
|
|
| Hospital Charge Code |
270674832
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.88 |
| Max. Negotiated Rate |
$49.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
|
|
SAW BLADE 14x50x0.6MM CUT STR
|
Facility
|
OP
|
$332.50
|
|
| Hospital Charge Code |
270674832
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.01 |
| Max. Negotiated Rate |
$166.25 |
| Rate for Payer: Aetna Commercial |
$126.35
|
| Rate for Payer: Aetna Medicare Advantage |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$84.79
|
| Rate for Payer: Cigna Commercial |
$166.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.75
|
| Rate for Payer: Oxford Commercial |
$66.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.81
|
|
|
SAW BLADE 14x6.4x0.6MM REC SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674660
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 14x6.4x0.6MM REC SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674660
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.19 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.45
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.11
|
|
|
SAW BLADE 15x10x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674643
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 15x10x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674643
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.19 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.45
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.11
|
|
|
SAW BLADE 15x16x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674646
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.19 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.45
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.11
|
|
|
SAW BLADE 15x16x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674646
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 15x6x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.19 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$114.45
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.11
|
|
|
SAW BLADE 15x6x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 16x10x0.4MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674812
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|
|
SAW BLADE 16x10x0.4MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674812
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$121.03
|
| Rate for Payer: Aetna Medicare Advantage |
$95.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.22
|
| Rate for Payer: Cigna Commercial |
$159.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.55
|
| Rate for Payer: Oxford Commercial |
$63.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.44
|
|