|
BIT DRILL 3-FLUTED 3.2x145 ST
|
Facility
|
OP
|
$954.80
|
|
| Hospital Charge Code |
270674886
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.01 |
| Max. Negotiated Rate |
$477.40 |
| Rate for Payer: Aetna Commercial |
$362.82
|
| Rate for Payer: Aetna Medicare Advantage |
$286.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$243.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$243.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$243.47
|
| Rate for Payer: Cigna Commercial |
$477.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$286.44
|
| Rate for Payer: Oxford Commercial |
$190.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$143.22
|
| Rate for Payer: UnitedHealthcare Commercial |
$190.96
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.30
|
|
|
BIT DRILL 3-FLUTED 3.2x330MM
|
Facility
|
IP
|
$1,253.95
|
|
| Hospital Charge Code |
270637809
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$188.09 |
| Max. Negotiated Rate |
$188.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$188.09
|
|
|
BIT DRILL 3-FLUTED 3.2x330MM
|
Facility
|
OP
|
$1,040.75
|
|
| Hospital Charge Code |
270679779
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.08 |
| Max. Negotiated Rate |
$520.38 |
| Rate for Payer: Aetna Commercial |
$395.49
|
| Rate for Payer: Aetna Medicare Advantage |
$312.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$265.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$265.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$265.39
|
| Rate for Payer: Cigna Commercial |
$520.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$312.23
|
| Rate for Payer: Oxford Commercial |
$208.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$156.11
|
| Rate for Payer: UnitedHealthcare Commercial |
$208.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$25.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.58
|
|
|
BIT DRILL 3-FLUTED 3.2x330MM
|
Facility
|
OP
|
$1,253.95
|
|
| Hospital Charge Code |
270637809
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.22 |
| Max. Negotiated Rate |
$626.98 |
| Rate for Payer: Aetna Commercial |
$476.50
|
| Rate for Payer: Aetna Medicare Advantage |
$376.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$319.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$319.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$319.76
|
| Rate for Payer: Cigna Commercial |
$626.98
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$376.19
|
| Rate for Payer: Oxford Commercial |
$250.79
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$188.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$250.79
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.23
|
|
|
BIT DRILL 3-FLUTED 3.2x330MM
|
Facility
|
IP
|
$1,040.75
|
|
| Hospital Charge Code |
270679779
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$156.11 |
| Max. Negotiated Rate |
$156.11 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$156.11
|
|
|
BIT DRILL 3-FLUTED 3.8x270MM
|
Facility
|
OP
|
$1,100.05
|
|
| Hospital Charge Code |
270651085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.51 |
| Max. Negotiated Rate |
$550.02 |
| Rate for Payer: Aetna Commercial |
$418.02
|
| Rate for Payer: Aetna Medicare Advantage |
$330.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$280.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$280.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$280.51
|
| Rate for Payer: Cigna Commercial |
$550.02
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$330.01
|
| Rate for Payer: Oxford Commercial |
$220.01
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$165.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$220.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$29.15
|
|
|
BIT DRILL 3-FLUTED 3.8x270MM
|
Facility
|
IP
|
$1,100.05
|
|
| Hospital Charge Code |
270651085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$165.01 |
| Max. Negotiated Rate |
$165.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$165.01
|
|
|
BIT DRILL 3-FLUTED RAD 3.2x145
|
Facility
|
IP
|
$1,004.25
|
|
| Hospital Charge Code |
270637810
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$150.64 |
| Max. Negotiated Rate |
$150.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.64
|
|
|
BIT DRILL 3-FLUTED RAD 3.2x145
|
Facility
|
OP
|
$1,004.25
|
|
| Hospital Charge Code |
270637810
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.20 |
| Max. Negotiated Rate |
$502.12 |
| Rate for Payer: Aetna Commercial |
$381.62
|
| Rate for Payer: Aetna Medicare Advantage |
$301.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$256.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$256.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$256.08
|
| Rate for Payer: Cigna Commercial |
$502.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$301.27
|
| Rate for Payer: Oxford Commercial |
$200.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$200.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$24.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$26.61
|
|
|
BIT DRILL 4.0mm LONG DB40L
|
Facility
|
IP
|
$396.85
|
|
| Hospital Charge Code |
270634969
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$59.53 |
| Max. Negotiated Rate |
$59.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.53
|
|
|
BIT DRILL 4.0mm LONG DB40L
|
Facility
|
OP
|
$396.85
|
|
| Hospital Charge Code |
270634969
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.56 |
| Max. Negotiated Rate |
$198.43 |
| Rate for Payer: Aetna Commercial |
$150.80
|
| Rate for Payer: Aetna Medicare Advantage |
$119.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$101.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$101.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$101.20
|
| Rate for Payer: Cigna Commercial |
$198.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$119.06
|
| Rate for Payer: Oxford Commercial |
$79.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$79.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.52
|
|
|
BIT DRILL 4.0mm SHORT DB4OS
|
Facility
|
OP
|
$396.85
|
|
| Hospital Charge Code |
270634968
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.56 |
| Max. Negotiated Rate |
$198.43 |
| Rate for Payer: Aetna Commercial |
$150.80
|
| Rate for Payer: Aetna Medicare Advantage |
$119.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$101.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$101.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$101.20
|
| Rate for Payer: Cigna Commercial |
$198.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$119.06
|
| Rate for Payer: Oxford Commercial |
$79.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$79.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.52
|
|
|
BIT DRILL 4.0mm SHORT DB4OS
|
Facility
|
IP
|
$396.85
|
|
| Hospital Charge Code |
270634968
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$59.53 |
| Max. Negotiated Rate |
$59.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.53
|
|
|
BIT DRILL 4.2x180MM STERILE
|
Facility
|
IP
|
$1,275.00
|
|
| Hospital Charge Code |
270648349
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$191.25 |
| Max. Negotiated Rate |
$191.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.25
|
|
|
BIT DRILL 4.2x180MM STERILE
|
Facility
|
OP
|
$1,275.00
|
|
| Hospital Charge Code |
270648349
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.73 |
| Max. Negotiated Rate |
$637.50 |
| Rate for Payer: Aetna Commercial |
$484.50
|
| Rate for Payer: Aetna Medicare Advantage |
$382.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$325.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$325.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$325.12
|
| Rate for Payer: Cigna Commercial |
$637.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$382.50
|
| Rate for Payer: Oxford Commercial |
$255.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$255.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.73
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$33.79
|
|
|
BIT DRILL AO SMALL 4.2x300MM
|
Facility
|
IP
|
$1,350.00
|
|
| Hospital Charge Code |
270651329
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$202.50 |
| Max. Negotiated Rate |
$202.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$202.50
|
|
|
BIT DRILL AO SMALL 4.2x300MM
|
Facility
|
OP
|
$1,350.00
|
|
| Hospital Charge Code |
270651329
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.53 |
| Max. Negotiated Rate |
$675.00 |
| Rate for Payer: Aetna Commercial |
$513.00
|
| Rate for Payer: Aetna Medicare Advantage |
$405.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$344.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$344.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$344.25
|
| Rate for Payer: Cigna Commercial |
$675.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$405.00
|
| Rate for Payer: Oxford Commercial |
$270.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$202.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$270.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$32.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35.77
|
|
|
BIT DRILL CANN 10MM TAPERED
|
Facility
|
OP
|
$2,157.85
|
|
| Hospital Charge Code |
270677274
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$52.00 |
| Max. Negotiated Rate |
$1,078.92 |
| Rate for Payer: Aetna Commercial |
$819.98
|
| Rate for Payer: Aetna Medicare Advantage |
$647.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$550.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$550.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$550.25
|
| Rate for Payer: Cigna Commercial |
$1,078.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$647.36
|
| Rate for Payer: Oxford Commercial |
$431.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$431.57
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$57.18
|
|
|
BIT DRILL CANN 10MM TAPERED
|
Facility
|
IP
|
$2,157.85
|
|
| Hospital Charge Code |
270677274
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$323.68 |
| Max. Negotiated Rate |
$323.68 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.68
|
|
|
BIT DRILL CANN 17.0X300 357851
|
Facility
|
OP
|
$3,306.30
|
|
| Hospital Charge Code |
270633851
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$79.68 |
| Max. Negotiated Rate |
$1,653.15 |
| Rate for Payer: Aetna Commercial |
$1,256.39
|
| Rate for Payer: Aetna Medicare Advantage |
$991.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$843.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$843.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$843.11
|
| Rate for Payer: Cigna Commercial |
$1,653.15
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$991.89
|
| Rate for Payer: Oxford Commercial |
$661.26
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$495.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$661.26
|
| Rate for Payer: UnitedHealthcare Community & State |
$79.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$87.62
|
|
|
BIT DRILL CANN 17.0X300 357851
|
Facility
|
IP
|
$3,306.30
|
|
| Hospital Charge Code |
270633851
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$495.94 |
| Max. Negotiated Rate |
$495.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$495.94
|
|
|
BIT DRILL CANN 2.0x150MM STER
|
Facility
|
OP
|
$1,935.00
|
|
| Hospital Charge Code |
270677400
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.63 |
| Max. Negotiated Rate |
$967.50 |
| Rate for Payer: Aetna Commercial |
$735.30
|
| Rate for Payer: Aetna Medicare Advantage |
$580.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$493.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$493.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$493.43
|
| Rate for Payer: Cigna Commercial |
$967.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$580.50
|
| Rate for Payer: Oxford Commercial |
$387.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$290.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$387.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$46.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51.28
|
|
|
BIT DRILL CANN 2.0x150MM STER
|
Facility
|
IP
|
$1,935.00
|
|
| Hospital Charge Code |
270677400
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$290.25 |
| Max. Negotiated Rate |
$290.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$290.25
|
|
|
Bit Drill Cann 5.5
|
Facility
|
IP
|
$1,740.00
|
|
| Hospital Charge Code |
270673705
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$261.00 |
| Max. Negotiated Rate |
$261.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$261.00
|
|
|
Bit Drill Cann 5.5
|
Facility
|
OP
|
$1,740.00
|
|
| Hospital Charge Code |
270673705
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.93 |
| Max. Negotiated Rate |
$870.00 |
| Rate for Payer: Aetna Commercial |
$661.20
|
| Rate for Payer: Aetna Medicare Advantage |
$522.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$443.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$443.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$443.70
|
| Rate for Payer: Cigna Commercial |
$870.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$522.00
|
| Rate for Payer: Oxford Commercial |
$348.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$261.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$348.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$41.93
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.11
|
|