|
VACURETTE FLEX TIP 5mm
|
Facility
|
OP
|
$24.50
|
|
| Hospital Charge Code |
270649252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.59 |
| Max. Negotiated Rate |
$12.25 |
| Rate for Payer: Aetna Commercial |
$9.31
|
| Rate for Payer: Aetna Medicare Advantage |
$7.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.25
|
| Rate for Payer: Cigna Commercial |
$12.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.35
|
| Rate for Payer: Oxford Commercial |
$4.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.65
|
|
|
VACURETTE FLEX TIP 6MM
|
Facility
|
IP
|
$23.08
|
|
| Hospital Charge Code |
270649254
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
|
|
VACURETTE FLEX TIP 6MM
|
Facility
|
OP
|
$23.08
|
|
| Hospital Charge Code |
270649254
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.56 |
| Max. Negotiated Rate |
$11.54 |
| Rate for Payer: Aetna Commercial |
$8.77
|
| Rate for Payer: Aetna Medicare Advantage |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.89
|
| Rate for Payer: Cigna Commercial |
$11.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.92
|
| Rate for Payer: Oxford Commercial |
$4.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.62
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.61
|
|
|
VACURETTE FLEX TIP 7mm
|
Facility
|
IP
|
$23.08
|
|
| Hospital Charge Code |
270649251
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
|
|
VACURETTE FLEX TIP 7mm
|
Facility
|
OP
|
$23.08
|
|
| Hospital Charge Code |
270649251
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.56 |
| Max. Negotiated Rate |
$11.54 |
| Rate for Payer: Aetna Commercial |
$8.77
|
| Rate for Payer: Aetna Medicare Advantage |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.89
|
| Rate for Payer: Cigna Commercial |
$11.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.92
|
| Rate for Payer: Oxford Commercial |
$4.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.62
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.61
|
|
|
VACURETTE F TIP 6FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.84 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.50
|
| Rate for Payer: Oxford Commercial |
$7.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.93
|
|
|
VACURETTE F TIP 6FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE F TIP 7FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE F TIP 7FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.84 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.50
|
| Rate for Payer: Oxford Commercial |
$7.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.93
|
|
|
VACURETTE F TIP 8FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331557
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE F TIP 8FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331557
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.84 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.50
|
| Rate for Payer: Oxford Commercial |
$7.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.93
|
|
|
VACUTAINER 100X16MM BLOOD COL
|
Facility
|
OP
|
$66.00
|
|
| Hospital Charge Code |
270331465
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.59 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$25.08
|
| Rate for Payer: Aetna Medicare Advantage |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$33.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.80
|
| Rate for Payer: Oxford Commercial |
$13.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.75
|
|
|
VACUTAINER 100X16MM BLOOD COL
|
Facility
|
IP
|
$66.00
|
|
| Hospital Charge Code |
270331465
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
|
|
VACUTAINER LAVENDER TOP 3ml
|
Facility
|
IP
|
$0.33
|
|
| Hospital Charge Code |
270649255
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
|
|
VACUTAINER LAVENDER TOP 3ml
|
Facility
|
OP
|
$0.33
|
|
| Hospital Charge Code |
270649255
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.17 |
| Rate for Payer: Aetna Commercial |
$0.13
|
| Rate for Payer: Aetna Medicare Advantage |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.08
|
| Rate for Payer: Cigna Commercial |
$0.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.10
|
| Rate for Payer: Oxford Commercial |
$0.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.07
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.01
|
|
|
VACUTAINER LT BLUE 4.5ml
|
Facility
|
IP
|
$0.43
|
|
| Hospital Charge Code |
270650269
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$0.06 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.06
|
|
|
VACUTAINER LT BLUE 4.5ml
|
Facility
|
OP
|
$0.43
|
|
| Hospital Charge Code |
270650269
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.22 |
| Rate for Payer: Aetna Commercial |
$0.16
|
| Rate for Payer: Aetna Medicare Advantage |
$0.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.11
|
| Rate for Payer: Cigna Commercial |
$0.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.13
|
| Rate for Payer: Oxford Commercial |
$0.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.06
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.09
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.01
|
|
|
VACUTAINER MINT GREEN STR
|
Facility
|
IP
|
$0.91
|
|
| Hospital Charge Code |
270649259
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$0.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.14
|
|
|
VACUTAINER MINT GREEN STR
|
Facility
|
OP
|
$0.91
|
|
| Hospital Charge Code |
270649259
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$0.46 |
| Rate for Payer: Aetna Commercial |
$0.35
|
| Rate for Payer: Aetna Medicare Advantage |
$0.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.23
|
| Rate for Payer: Cigna Commercial |
$0.46
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.27
|
| Rate for Payer: Oxford Commercial |
$0.18
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.18
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.02
|
|
|
VACUTAINER RED PLASTC 6ml
|
Facility
|
IP
|
$0.33
|
|
| Hospital Charge Code |
270637397
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
|
|
VACUTAINER RED PLASTC 6ml
|
Facility
|
OP
|
$0.33
|
|
| Hospital Charge Code |
270637397
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.17 |
| Rate for Payer: Aetna Commercial |
$0.13
|
| Rate for Payer: Aetna Medicare Advantage |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.08
|
| Rate for Payer: Cigna Commercial |
$0.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.10
|
| Rate for Payer: Oxford Commercial |
$0.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.07
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.01
|
|
|
VACUTAINER TUBE PINK 6ml
|
Facility
|
OP
|
$0.32
|
|
| Hospital Charge Code |
270639984
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.16 |
| Rate for Payer: Aetna Commercial |
$0.12
|
| Rate for Payer: Aetna Medicare Advantage |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.08
|
| Rate for Payer: Cigna Commercial |
$0.16
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.10
|
| Rate for Payer: Oxford Commercial |
$0.06
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.06
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.01
|
|
|
VACUTAINER TUBE PINK 6ml
|
Facility
|
IP
|
$0.32
|
|
| Hospital Charge Code |
270639984
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
|
|
VACUUM BARRON TREPHINE 7.0MM
|
Facility
|
OP
|
$370.00
|
|
| Hospital Charge Code |
270642607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.92 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Aetna Commercial |
$140.60
|
| Rate for Payer: Aetna Medicare Advantage |
$111.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.35
|
| Rate for Payer: Cigna Commercial |
$185.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.00
|
| Rate for Payer: Oxford Commercial |
$74.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$74.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.80
|
|
|
VACUUM BARRON TREPHINE 7.0MM
|
Facility
|
IP
|
$370.00
|
|
| Hospital Charge Code |
270642607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.50 |
| Max. Negotiated Rate |
$55.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
|