|
SCREW SYN CANC TL 32 7 145MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604978
|
|
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 150MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604979
|
|
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 150MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604979
|
|
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 7.3 115MM
|
Facility
|
IP
|
$1,066.45
|
|
| Hospital Charge Code |
270605061
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$159.97 |
| Max. Negotiated Rate |
$258.08 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$213.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$258.08
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$234.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$159.97
|
|
|
SCREW SYN CANC TL 32 7.3 115MM
|
Facility
|
OP
|
$1,066.45
|
|
| Hospital Charge Code |
270605061
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$25.70 |
| Max. Negotiated Rate |
$533.23 |
| Rate for Payer: Aetna Commercial |
$405.25
|
| Rate for Payer: Aetna Medicare Advantage |
$319.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$271.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$271.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$213.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$271.94
|
| Rate for Payer: Cigna Commercial |
$533.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$258.08
|
| Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan |
$234.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$159.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$25.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$28.26
|
|
|
SCREW SYN CANC TL 32 7.3 45MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270605047
|
|
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 32 7.3 45MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270605047
|
|
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 32 7.3 50MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270605048
|
|
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 32 7.3 50MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270605048
|
|
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 32 7 45MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604958
|
|
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 45MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604958
|
|
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 50MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604959
|
|
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 50MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604959
|
|
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 55MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604960
|
|
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 55MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604960
|
|
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 60MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604961
|
|
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 60MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604961
|
|
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 65MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604962
|
|
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 65MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604962
|
|
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 70MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604963
|
|
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 70MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604963
|
|
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 75MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604964
|
|
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 75MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604964
|
|
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 80MM
|
Facility
|
IP
|
$1,020.85
|
|
| Hospital Charge Code |
270604965
|
|
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 80MM
|
Facility
|
OP
|
$1,020.85
|
|
| Hospital Charge Code |
270604965
|
|
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
|
|