|
SCREW SYN CANC TL 16 7 35MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 16 7 35MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 16 7.3 65MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270605026
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 16 7.3 65MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270605026
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 16 7 55MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604938
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 16 7 55MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604938
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 16 7 75MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604942
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 16 7 75MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604942
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 16 7 85MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604944
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 16 7 85MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604944
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 16 7 90MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604945
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 16 7 90MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604945
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 32 7 100MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604969
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 32 7 100MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604969
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 32 7 110MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604971
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 32 7 110MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604971
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 32 7 120MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604973
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 32 7 120MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604973
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 32 7 130MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604975
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 32 7 130MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604975
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 32 7 135MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 32 7 135MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 32 7 145MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604977
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|
|
SCREW SYN CANC TL 32 7 145MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604977
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.60 |
| Max. Negotiated Rate |
$510.43 |
| Rate for Payer: Aetna Commercial |
$387.92
|
| Rate for Payer: Aetna Medicare Advantage |
$306.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$260.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$260.32
|
| Rate for Payer: Cigna Commercial |
$510.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.05
|
|
|
SCREW SYN CANC TL 32 7 145MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604978
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.13 |
| Max. Negotiated Rate |
$247.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$204.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$247.05
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$224.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$153.13
|
|