|
BIT DRILL CANN 6.0x10mm
|
Facility
|
OP
|
$3,411.90
|
|
| Hospital Charge Code |
270637690
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$82.23 |
| Max. Negotiated Rate |
$1,705.95 |
| Rate for Payer: Aetna Commercial |
$1,296.52
|
| Rate for Payer: Aetna Medicare Advantage |
$1,023.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$870.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$870.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$870.03
|
| Rate for Payer: Cigna Commercial |
$1,705.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,023.57
|
| Rate for Payer: Oxford Commercial |
$682.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$511.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$682.38
|
| Rate for Payer: UnitedHealthcare Community & State |
$82.23
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$90.42
|
|
|
BIT DRILL CANN 6.0x10mm
|
Facility
|
IP
|
$3,411.90
|
|
| Hospital Charge Code |
270637690
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$511.79 |
| Max. Negotiated Rate |
$511.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$511.79
|
|
|
BIT DRILL CANN DISP HBS-DCDH
|
Facility
|
OP
|
$843.25
|
|
| Hospital Charge Code |
270636600
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.32 |
| Max. Negotiated Rate |
$421.62 |
| Rate for Payer: Aetna Commercial |
$320.44
|
| Rate for Payer: Aetna Medicare Advantage |
$252.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$215.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$215.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$215.03
|
| Rate for Payer: Cigna Commercial |
$421.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$252.97
|
| Rate for Payer: Oxford Commercial |
$168.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$126.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$168.65
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$22.35
|
|
|
BIT DRILL CANN DISP HBS-DCDH
|
Facility
|
IP
|
$843.25
|
|
| Hospital Charge Code |
270636600
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$126.49 |
| Max. Negotiated Rate |
$126.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$126.49
|
|
|
BIT DRILL CANN FLEX 16MM
|
Facility
|
IP
|
$3,650.60
|
|
| Hospital Charge Code |
270677231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$547.59 |
| Max. Negotiated Rate |
$547.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$547.59
|
|
|
BIT DRILL CANN FLEX 16MM
|
Facility
|
OP
|
$3,650.60
|
|
| Hospital Charge Code |
270677231
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.98 |
| Max. Negotiated Rate |
$1,825.30 |
| Rate for Payer: Aetna Commercial |
$1,387.23
|
| Rate for Payer: Aetna Medicare Advantage |
$1,095.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$930.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$930.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$930.90
|
| Rate for Payer: Cigna Commercial |
$1,825.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,095.18
|
| Rate for Payer: Oxford Commercial |
$730.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$547.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$730.12
|
| Rate for Payer: UnitedHealthcare Community & State |
$87.98
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$96.74
|
|
|
BIT DRILL CANN QC 12x190MM ST
|
Facility
|
OP
|
$2,447.30
|
|
| Hospital Charge Code |
270646675
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$58.98 |
| Max. Negotiated Rate |
$1,223.65 |
| Rate for Payer: Aetna Commercial |
$929.97
|
| Rate for Payer: Aetna Medicare Advantage |
$734.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$624.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$624.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$624.06
|
| Rate for Payer: Cigna Commercial |
$1,223.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$734.19
|
| Rate for Payer: Oxford Commercial |
$489.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$367.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$489.46
|
| Rate for Payer: UnitedHealthcare Community & State |
$58.98
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$64.85
|
|
|
BIT DRILL CANN QC 12x190MM ST
|
Facility
|
IP
|
$2,447.30
|
|
| Hospital Charge Code |
270646675
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$367.10 |
| Max. Negotiated Rate |
$367.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$367.10
|
|
|
BIT DRILL CANN QC 2.7x160MM ST
|
Facility
|
IP
|
$2,157.85
|
|
| Hospital Charge Code |
270677977
|
|
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 QC 2.7x160MM ST
|
Facility
|
OP
|
$2,157.85
|
|
| Hospital Charge Code |
270677977
|
|
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 STEPPED 6/9MM
|
Facility
|
IP
|
$7,070.00
|
|
| Hospital Charge Code |
270675954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,060.50 |
| Max. Negotiated Rate |
$1,060.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,060.50
|
|
|
BIT DRILL CANN STEPPED 6/9MM
|
Facility
|
OP
|
$7,070.00
|
|
| Hospital Charge Code |
270675954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$170.39 |
| Max. Negotiated Rate |
$3,535.00 |
| Rate for Payer: Aetna Commercial |
$2,686.60
|
| Rate for Payer: Aetna Medicare Advantage |
$2,121.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,802.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,802.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,802.85
|
| Rate for Payer: Cigna Commercial |
$3,535.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,121.00
|
| Rate for Payer: Oxford Commercial |
$1,414.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,060.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,414.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$170.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$187.35
|
|
|
BIT DRILL CANNULATED 13.0MM
|
Facility
|
OP
|
$2,716.60
|
|
| Hospital Charge Code |
270688232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$65.47 |
| Max. Negotiated Rate |
$1,358.30 |
| Rate for Payer: Aetna Commercial |
$1,032.31
|
| Rate for Payer: Aetna Medicare Advantage |
$814.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$692.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$692.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$692.73
|
| Rate for Payer: Cigna Commercial |
$1,358.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$814.98
|
| Rate for Payer: Oxford Commercial |
$543.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$407.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$543.32
|
| Rate for Payer: UnitedHealthcare Community & State |
$65.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$71.99
|
|
|
BIT DRILL CANNULATED 13.0MM
|
Facility
|
IP
|
$2,716.60
|
|
| Hospital Charge Code |
270688232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$407.49 |
| Max. Negotiated Rate |
$407.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$407.49
|
|
|
BIT DRILL CANNULATED 4.0MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270677564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
BIT DRILL CANNULATED 4.0MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270677564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.50 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$25.84
|
|
|
BIT DRILL CANNULATED 6.5mm
|
Facility
|
OP
|
$1,125.00
|
|
| Hospital Charge Code |
270637464
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.11 |
| Max. Negotiated Rate |
$562.50 |
| Rate for Payer: Aetna Commercial |
$427.50
|
| Rate for Payer: Aetna Medicare Advantage |
$337.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$286.88
|
| Rate for Payer: Cigna Commercial |
$562.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$337.50
|
| Rate for Payer: Oxford Commercial |
$225.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$225.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$29.81
|
|
|
BIT DRILL CANNULATED 6.5mm
|
Facility
|
IP
|
$1,125.00
|
|
| Hospital Charge Code |
270637464
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$168.75 |
| Max. Negotiated Rate |
$168.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
|
|
BIT DRILL CINCHLOCK FLEX HARD
|
Facility
|
IP
|
$1,275.00
|
|
| Hospital Charge Code |
270685173
|
|
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 CINCHLOCK FLEX HARD
|
Facility
|
OP
|
$1,275.00
|
|
| Hospital Charge Code |
270685173
|
|
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 CORTCL 1.9mm 2645019
|
Facility
|
OP
|
$875.00
|
|
| Hospital Charge Code |
270643922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.09 |
| Max. Negotiated Rate |
$437.50 |
| Rate for Payer: Aetna Commercial |
$332.50
|
| Rate for Payer: Aetna Medicare Advantage |
$262.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$223.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$223.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$223.12
|
| Rate for Payer: Cigna Commercial |
$437.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$262.50
|
| Rate for Payer: Oxford Commercial |
$175.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$175.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$21.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.19
|
|
|
BIT DRILL CORTCL 1.9mm 2645019
|
Facility
|
IP
|
$875.00
|
|
| Hospital Charge Code |
270643922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.25 |
| Max. Negotiated Rate |
$131.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
|
|
BIT DRILL COUNTERSINK
|
Facility
|
IP
|
$1,400.00
|
|
| Hospital Charge Code |
270648360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$210.00 |
| Max. Negotiated Rate |
$210.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$210.00
|
|
|
BIT DRILL COUNTERSINK
|
Facility
|
OP
|
$1,400.00
|
|
| Hospital Charge Code |
270648360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.74 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna Commercial |
$532.00
|
| Rate for Payer: Aetna Medicare Advantage |
$420.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$357.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$357.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$357.00
|
| Rate for Payer: Cigna Commercial |
$700.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$420.00
|
| Rate for Payer: Oxford Commercial |
$280.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$210.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$280.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$33.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.10
|
|
|
BIT DRILL F.A.S.T. 2.0m FDB2.0
|
Facility
|
OP
|
$396.85
|
|
| Hospital Charge Code |
270635665
|
|
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
|
|