|
CUTTER AGGRESSIVE PLUS 5mm DIS
|
Facility
|
OP
|
$190.00
|
|
| Hospital Charge Code |
270601435
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$95.00 |
| Rate for Payer: Aetna Commercial |
$57.00
|
| Rate for Payer: Aetna Medicare Advantage |
$57.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$48.45
|
| Rate for Payer: Cigna Commercial |
$95.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.70
|
| Rate for Payer: Oxford Commercial |
$95.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$95.00
|
|
|
CUTTER AGGRESSIVE PLUS 5mm DIS
|
Facility
|
IP
|
$190.00
|
|
| Hospital Charge Code |
270601435
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.50 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
|
|
CUTTER AGGRESSIVE SERRATED 4.0
|
Facility
|
OP
|
$2,116.00
|
|
| Hospital Charge Code |
270658105
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$275.08 |
| Max. Negotiated Rate |
$1,058.00 |
| Rate for Payer: Aetna Commercial |
$634.80
|
| Rate for Payer: Aetna Medicare Advantage |
$634.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$539.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$539.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$539.58
|
| Rate for Payer: Cigna Commercial |
$1,058.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$275.08
|
| Rate for Payer: Oxford Commercial |
$1,058.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$317.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,058.00
|
|
|
CUTTER AGGRESSIVE SERRATED 4.0
|
Facility
|
IP
|
$2,116.00
|
|
| Hospital Charge Code |
270658105
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$317.40 |
| Max. Negotiated Rate |
$317.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$317.40
|
|
|
CUTTER AGGRESS SM JOINT 2.5MM
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270658012
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$60.00
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.00
|
| Rate for Payer: Cigna Commercial |
$100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.00
|
| Rate for Payer: Oxford Commercial |
$100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$100.00
|
|
|
CUTTER AGGRESS SM JOINT 2.5MM
|
Facility
|
IP
|
$200.00
|
|
| Hospital Charge Code |
270658012
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
|
|
CUTTER AGGRESSV PLUS 2.5mm
|
Facility
|
IP
|
$1,000.00
|
|
| Hospital Charge Code |
270640297
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
CUTTER AGGRESSV PLUS 2.5mm
|
Facility
|
OP
|
$1,000.00
|
|
| Hospital Charge Code |
270640297
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$130.00 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$300.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$130.00
|
| Rate for Payer: Oxford Commercial |
$500.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$500.00
|
|
|
CUTTER AGGR MENISCUS DISP 4MM
|
Facility
|
IP
|
$338.25
|
|
| Hospital Charge Code |
270657558
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$50.74 |
| Max. Negotiated Rate |
$50.74 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.74
|
|
|
CUTTER AGGR MENISCUS DISP 4MM
|
Facility
|
OP
|
$338.25
|
|
| Hospital Charge Code |
270657558
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.97 |
| Max. Negotiated Rate |
$169.12 |
| Rate for Payer: Aetna Commercial |
$101.47
|
| Rate for Payer: Aetna Medicare Advantage |
$101.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$86.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$86.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$86.25
|
| Rate for Payer: Cigna Commercial |
$169.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.97
|
| Rate for Payer: Oxford Commercial |
$169.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$50.74
|
| Rate for Payer: UnitedHealthcare Commercial |
$169.12
|
|
|
CUTTER AGGRSSV SM JOINT 3.5MM
|
Facility
|
OP
|
$1,939.30
|
|
| Hospital Charge Code |
270658023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$252.11 |
| Max. Negotiated Rate |
$969.65 |
| Rate for Payer: Aetna Commercial |
$581.79
|
| Rate for Payer: Aetna Medicare Advantage |
$581.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$494.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$494.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$494.52
|
| Rate for Payer: Cigna Commercial |
$969.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$252.11
|
| Rate for Payer: Oxford Commercial |
$969.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$290.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$969.65
|
|
|
CUTTER AGGRSSV SM JOINT 3.5MM
|
Facility
|
IP
|
$1,939.30
|
|
| Hospital Charge Code |
270658023
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$290.89 |
| Max. Negotiated Rate |
$290.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$290.89
|
|
|
CUTTER AGRESSIVE +SM JOI 3.5mm
|
Facility
|
IP
|
$190.00
|
|
| Hospital Charge Code |
270624901
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.50 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
|
|
CUTTER AGRESSIVE +SM JOI 3.5mm
|
Facility
|
OP
|
$190.00
|
|
| Hospital Charge Code |
270624901
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$95.00 |
| Rate for Payer: Aetna Commercial |
$57.00
|
| Rate for Payer: Aetna Medicare Advantage |
$57.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$48.45
|
| Rate for Payer: Cigna Commercial |
$95.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.70
|
| Rate for Payer: Oxford Commercial |
$95.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$95.00
|
|
|
CUTTER ANGLD DOUBLE BITE 4.5mm
|
Facility
|
OP
|
$190.00
|
|
| Hospital Charge Code |
270644922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$95.00 |
| Rate for Payer: Aetna Commercial |
$57.00
|
| Rate for Payer: Aetna Medicare Advantage |
$57.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$48.45
|
| Rate for Payer: Cigna Commercial |
$95.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.70
|
| Rate for Payer: Oxford Commercial |
$95.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$95.00
|
|
|
CUTTER ANGLD DOUBLE BITE 4.5mm
|
Facility
|
IP
|
$190.00
|
|
| Hospital Charge Code |
270644922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.50 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
|
|
CUTTER ANGLED 4.5 MM
|
Facility
|
IP
|
$200.00
|
|
| Hospital Charge Code |
270659129
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
|
|
CUTTER ANGLED 4.5 MM
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270659129
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$60.00
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.00
|
| Rate for Payer: Cigna Commercial |
$100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.00
|
| Rate for Payer: Oxford Commercial |
$100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$100.00
|
|
|
CUTTER BLD AGRESSIVE +SHVE 4mm
|
Facility
|
IP
|
$190.00
|
|
| Hospital Charge Code |
270644547
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.50 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
|
|
CUTTER BLD AGRESSIVE +SHVE 4mm
|
Facility
|
OP
|
$190.00
|
|
| Hospital Charge Code |
270644547
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$95.00 |
| Rate for Payer: Aetna Commercial |
$57.00
|
| Rate for Payer: Aetna Medicare Advantage |
$57.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$48.45
|
| Rate for Payer: Cigna Commercial |
$95.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.70
|
| Rate for Payer: Oxford Commercial |
$95.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$95.00
|
|
|
CUTTER BUR 2.0mm MICRODEBRIDER
|
Facility
|
IP
|
$73.15
|
|
| Hospital Charge Code |
270639248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.97 |
| Max. Negotiated Rate |
$10.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.97
|
|
|
CUTTER BUR 2.0mm MICRODEBRIDER
|
Facility
|
OP
|
$73.15
|
|
| Hospital Charge Code |
270639248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.51 |
| Max. Negotiated Rate |
$36.58 |
| Rate for Payer: Aetna Commercial |
$21.95
|
| Rate for Payer: Aetna Medicare Advantage |
$21.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.65
|
| Rate for Payer: Cigna Commercial |
$36.58
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.51
|
| Rate for Payer: Oxford Commercial |
$36.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$36.58
|
|
|
CUTTER DIAMOND PIN 7
|
Facility
|
IP
|
$1,030.00
|
|
| Hospital Charge Code |
270667586
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$154.50 |
| Max. Negotiated Rate |
$154.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$154.50
|
|
|
CUTTER DIAMOND PIN 7
|
Facility
|
OP
|
$1,030.00
|
|
| Hospital Charge Code |
270667586
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$133.90 |
| Max. Negotiated Rate |
$515.00 |
| Rate for Payer: Aetna Commercial |
$309.00
|
| Rate for Payer: Aetna Medicare Advantage |
$309.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$262.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$262.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$262.65
|
| Rate for Payer: Cigna Commercial |
$515.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$133.90
|
| Rate for Payer: Oxford Commercial |
$515.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$154.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$515.00
|
|
|
CUTTER DISPOSIBLE
|
Facility
|
OP
|
$427.60
|
|
| Hospital Charge Code |
270659979
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.59 |
| Max. Negotiated Rate |
$213.80 |
| Rate for Payer: Aetna Commercial |
$128.28
|
| Rate for Payer: Aetna Medicare Advantage |
$128.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.04
|
| Rate for Payer: Cigna Commercial |
$213.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.59
|
| Rate for Payer: Oxford Commercial |
$213.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$213.80
|
|