|
BIT DRILL F.A.S.T. 2.0m FDB2.0
|
Facility
|
IP
|
$396.85
|
|
| Hospital Charge Code |
270635665
|
|
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 HEMI REAMER 4.5x1.6
|
Facility
|
OP
|
$750.00
|
|
| Hospital Charge Code |
270676446
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.07 |
| Max. Negotiated Rate |
$375.00 |
| Rate for Payer: Aetna Commercial |
$285.00
|
| Rate for Payer: Aetna Medicare Advantage |
$225.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$191.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$191.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$191.25
|
| Rate for Payer: Cigna Commercial |
$375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$225.00
|
| Rate for Payer: Oxford Commercial |
$150.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$18.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$19.88
|
|
|
BIT DRILL HEMI REAMER 4.5x1.6
|
Facility
|
IP
|
$750.00
|
|
| Hospital Charge Code |
270676446
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$112.50 |
| Max. Negotiated Rate |
$112.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
|
|
BIT DRILL J-LATCH 1.8x90MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270652056
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILL J-LATCH 1.8x90MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270652056
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.41 |
| Max. Negotiated Rate |
$153.72 |
| Rate for Payer: Aetna Commercial |
$116.83
|
| Rate for Payer: Aetna Medicare Advantage |
$92.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78.40
|
| Rate for Payer: Cigna Commercial |
$153.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$92.23
|
| Rate for Payer: Oxford Commercial |
$61.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$61.49
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.15
|
|
|
BIT DRILL K WIRE
|
Facility
|
OP
|
$85.00
|
|
| Hospital Charge Code |
270648909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.05 |
| Max. Negotiated Rate |
$42.50 |
| Rate for Payer: Aetna Commercial |
$32.30
|
| Rate for Payer: Aetna Medicare Advantage |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.68
|
| Rate for Payer: Cigna Commercial |
$42.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.50
|
| Rate for Payer: Oxford Commercial |
$17.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.25
|
|
|
BIT DRILL K WIRE
|
Facility
|
IP
|
$85.00
|
|
| Hospital Charge Code |
270648909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$12.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
|
|
BIT DRILL MINI QC 1.8x80MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270636271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILL MINI QC 1.8x80MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270636271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.41 |
| Max. Negotiated Rate |
$153.72 |
| Rate for Payer: Aetna Commercial |
$116.83
|
| Rate for Payer: Aetna Medicare Advantage |
$92.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78.40
|
| Rate for Payer: Cigna Commercial |
$153.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$92.23
|
| Rate for Payer: Oxford Commercial |
$61.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$61.49
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.15
|
|
|
BIT DRILL MINI QC 2.4x80MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270636272
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.41 |
| Max. Negotiated Rate |
$153.72 |
| Rate for Payer: Aetna Commercial |
$116.83
|
| Rate for Payer: Aetna Medicare Advantage |
$92.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78.40
|
| Rate for Payer: Cigna Commercial |
$153.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$92.23
|
| Rate for Payer: Oxford Commercial |
$61.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$61.49
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.15
|
|
|
BIT DRILL MINI QC 2.4x80MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270636272
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILLO.35X4 K WIRE DOUBLE
|
Facility
|
IP
|
$175.00
|
|
| Hospital Charge Code |
270648910
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.25 |
| Max. Negotiated Rate |
$26.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.25
|
|
|
BIT DRILLO.35X4 K WIRE DOUBLE
|
Facility
|
OP
|
$175.00
|
|
| Hospital Charge Code |
270648910
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.22 |
| Max. Negotiated Rate |
$87.50 |
| Rate for Payer: Aetna Commercial |
$66.50
|
| Rate for Payer: Aetna Medicare Advantage |
$52.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44.62
|
| Rate for Payer: Cigna Commercial |
$87.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.50
|
| Rate for Payer: Oxford Commercial |
$35.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$35.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.64
|
|
|
BIT DRILLO.35X6 KWIRE DOUBLE
|
Facility
|
IP
|
$125.00
|
|
| Hospital Charge Code |
270648911
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.75 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.75
|
|
|
BIT DRILLO.35X6 KWIRE DOUBLE
|
Facility
|
OP
|
$125.00
|
|
| Hospital Charge Code |
270648911
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.01 |
| Max. Negotiated Rate |
$62.50 |
| Rate for Payer: Aetna Commercial |
$47.50
|
| Rate for Payer: Aetna Medicare Advantage |
$37.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$31.88
|
| Rate for Payer: Cigna Commercial |
$62.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$37.50
|
| Rate for Payer: Oxford Commercial |
$25.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.31
|
|
|
BIT DRIL LONG 2.0M QUK MSLDC20
|
Facility
|
IP
|
$250.00
|
|
| Hospital Charge Code |
270641016
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.50 |
| Max. Negotiated Rate |
$37.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
|
|
BIT DRIL LONG 2.0M QUK MSLDC20
|
Facility
|
OP
|
$250.00
|
|
| Hospital Charge Code |
270641016
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$125.00 |
| Rate for Payer: Aetna Commercial |
$95.00
|
| Rate for Payer: Aetna Medicare Advantage |
$75.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.75
|
| Rate for Payer: Cigna Commercial |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$75.00
|
| Rate for Payer: Oxford Commercial |
$50.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$50.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.62
|
|
|
BIT DRILL QC 195mm
|
Facility
|
IP
|
$489.00
|
|
| Hospital Charge Code |
270663424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.35 |
| Max. Negotiated Rate |
$73.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.35
|
|
|
BIT DRILL QC 195mm
|
Facility
|
OP
|
$489.00
|
|
| Hospital Charge Code |
270663424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.78 |
| Max. Negotiated Rate |
$244.50 |
| Rate for Payer: Aetna Commercial |
$185.82
|
| Rate for Payer: Aetna Medicare Advantage |
$146.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$124.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$124.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$124.69
|
| Rate for Payer: Cigna Commercial |
$244.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$146.70
|
| Rate for Payer: Oxford Commercial |
$97.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$97.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.78
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.96
|
|
|
BIT DRILL QC 3.2 X 180MM
|
Facility
|
OP
|
$705.00
|
|
| Hospital Charge Code |
270665861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.99 |
| Max. Negotiated Rate |
$352.50 |
| Rate for Payer: Aetna Commercial |
$267.90
|
| Rate for Payer: Aetna Medicare Advantage |
$211.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$179.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$179.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$179.78
|
| Rate for Payer: Cigna Commercial |
$352.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.50
|
| Rate for Payer: Oxford Commercial |
$141.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$141.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$16.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.68
|
|
|
BIT DRILL QC 3.2 X 180MM
|
Facility
|
IP
|
$705.00
|
|
| Hospital Charge Code |
270665861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$105.75 |
| Max. Negotiated Rate |
$105.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.75
|
|
|
BIT DRILL QC 3.2x20mm RINGLOC
|
Facility
|
OP
|
$450.00
|
|
| Hospital Charge Code |
270642694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.85 |
| Max. Negotiated Rate |
$225.00 |
| Rate for Payer: Aetna Commercial |
$171.00
|
| Rate for Payer: Aetna Medicare Advantage |
$135.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$114.75
|
| Rate for Payer: Cigna Commercial |
$225.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$135.00
|
| Rate for Payer: Oxford Commercial |
$90.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.93
|
|
|
BIT DRILL QC 3.2x20mm RINGLOC
|
Facility
|
IP
|
$450.00
|
|
| Hospital Charge Code |
270642694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
|
|
BIT DRILL QC 3.2x30mm RINGLOC
|
Facility
|
IP
|
$450.00
|
|
| Hospital Charge Code |
270642680
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
|
|
BIT DRILL QC 3.2x30mm RINGLOC
|
Facility
|
OP
|
$450.00
|
|
| Hospital Charge Code |
270642680
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.85 |
| Max. Negotiated Rate |
$225.00 |
| Rate for Payer: Aetna Commercial |
$171.00
|
| Rate for Payer: Aetna Medicare Advantage |
$135.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$114.75
|
| Rate for Payer: Cigna Commercial |
$225.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$135.00
|
| Rate for Payer: Oxford Commercial |
$90.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.93
|
|