|
SAW BLADE 31x10x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674644
|
|
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 31x6x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674641
|
|
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 31x6x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674641
|
|
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 33.5x6.4x0.6MM REC
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674665
|
|
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 33.5x6.4x0.6MM REC
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674665
|
|
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 34.5x5/2.5x0.6MM CRE
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674666
|
|
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
|
|
|
SAW BLADE 34.5x5/2.5x0.6MM CRE
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674666
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
SAW BLADE 43x20x0.6MM SAG
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674654
|
|
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 43x20x0.6MM SAG
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674654
|
|
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 4x15x0.4MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674814
|
|
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 4x15x0.4MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674814
|
|
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 4x15x0.4MM CUT STR
|
Facility
|
IP
|
$332.50
|
|
| Hospital Charge Code |
270674815
|
|
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 4x15x0.4MM CUT STR
|
Facility
|
OP
|
$332.50
|
|
| Hospital Charge Code |
270674815
|
|
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 50x70x0.8MM CUT
|
Facility
|
OP
|
$290.50
|
|
| Hospital Charge Code |
270674804
|
|
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 50x70x0.8MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674804
|
|
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 512.50 26/0.65 C/THK
|
Facility
|
OP
|
$336.00
|
|
| Hospital Charge Code |
270674773
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.10 |
| Max. Negotiated Rate |
$168.00 |
| Rate for Payer: Aetna Commercial |
$127.68
|
| Rate for Payer: Aetna Medicare Advantage |
$100.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$85.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$85.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$85.68
|
| Rate for Payer: Cigna Commercial |
$168.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$100.80
|
| Rate for Payer: Oxford Commercial |
$67.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$67.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.90
|
|
|
SAW BLADE 512.50 26/0.65 C/THK
|
Facility
|
IP
|
$336.00
|
|
| Hospital Charge Code |
270674773
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$50.40 |
| Max. Negotiated Rate |
$50.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.40
|
|
|
SAW BLADE 60MMx25MM 0.89MM CUT
|
Facility
|
IP
|
$385.00
|
|
| Hospital Charge Code |
270674736
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.75 |
| Max. Negotiated Rate |
$57.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.75
|
|
|
SAW BLADE 60MMx25MM 0.89MM CUT
|
Facility
|
OP
|
$385.00
|
|
| Hospital Charge Code |
270674736
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.28 |
| Max. Negotiated Rate |
$192.50 |
| Rate for Payer: Aetna Commercial |
$146.30
|
| Rate for Payer: Aetna Medicare Advantage |
$115.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$98.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$98.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$98.17
|
| Rate for Payer: Cigna Commercial |
$192.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$115.50
|
| Rate for Payer: Oxford Commercial |
$77.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$77.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.20
|
|
|
SAW BLADE 6MM W 13MM L/0.25MM
|
Facility
|
OP
|
$336.00
|
|
| Hospital Charge Code |
270674774
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.10 |
| Max. Negotiated Rate |
$168.00 |
| Rate for Payer: Aetna Commercial |
$127.68
|
| Rate for Payer: Aetna Medicare Advantage |
$100.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$85.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$85.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$85.68
|
| Rate for Payer: Cigna Commercial |
$168.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$100.80
|
| Rate for Payer: Oxford Commercial |
$67.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$67.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.90
|
|
|
SAW BLADE 6MM W 13MM L/0.25MM
|
Facility
|
IP
|
$336.00
|
|
| Hospital Charge Code |
270674774
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$50.40 |
| Max. Negotiated Rate |
$50.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.40
|
|
|
SAW BLADE 6x10x0.4MM CUT
|
Facility
|
OP
|
$332.50
|
|
| Hospital Charge Code |
270674809
|
|
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 6x10x0.4MM CUT
|
Facility
|
IP
|
$332.50
|
|
| Hospital Charge Code |
270674809
|
|
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 6x25x0.6MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674807
|
|
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 6x25x0.6MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674823
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|