|
DRILL 2.2X100
|
Facility
|
IP
|
$1,545.00
|
|
| Hospital Charge Code |
270688021
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$231.75 |
| Max. Negotiated Rate |
$231.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$231.75
|
|
|
DRILL 2.3 X 10 MM PYRENEES
|
Facility
|
OP
|
$825.00
|
|
| Hospital Charge Code |
270689817
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$107.25 |
| Max. Negotiated Rate |
$412.50 |
| Rate for Payer: Aetna Commercial |
$247.50
|
| Rate for Payer: Aetna Medicare Advantage |
$247.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$210.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$210.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$210.38
|
| Rate for Payer: Cigna Commercial |
$412.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.25
|
| Rate for Payer: Oxford Commercial |
$412.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$123.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$412.50
|
|
|
DRILL 2.3 X 10 MM PYRENEES
|
Facility
|
IP
|
$825.00
|
|
| Hospital Charge Code |
270689817
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$123.75 |
| Max. Negotiated Rate |
$123.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$123.75
|
|
|
DRILL 2.5 110MM B/Q
|
Facility
|
IP
|
$320.00
|
|
| Hospital Charge Code |
270690200
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.00 |
| Max. Negotiated Rate |
$48.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.00
|
|
|
DRILL 2.5 110MM B/Q
|
Facility
|
OP
|
$320.00
|
|
| Hospital Charge Code |
270690200
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.60 |
| Max. Negotiated Rate |
$160.00 |
| Rate for Payer: Aetna Commercial |
$96.00
|
| Rate for Payer: Aetna Medicare Advantage |
$96.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.60
|
| Rate for Payer: Cigna Commercial |
$160.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.60
|
| Rate for Payer: Oxford Commercial |
$160.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$160.00
|
|
|
DRILL 2.5 MM
|
Facility
|
OP
|
$2,497.95
|
|
| Hospital Charge Code |
270690436
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$324.73 |
| Max. Negotiated Rate |
$1,248.97 |
| Rate for Payer: Aetna Commercial |
$749.38
|
| Rate for Payer: Aetna Medicare Advantage |
$749.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$636.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$636.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$636.98
|
| Rate for Payer: Cigna Commercial |
$1,248.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$324.73
|
| Rate for Payer: Oxford Commercial |
$1,248.97
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$374.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,248.97
|
|
|
DRILL 2.5 MM
|
Facility
|
IP
|
$2,497.95
|
|
| Hospital Charge Code |
270690436
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$374.69 |
| Max. Negotiated Rate |
$374.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$374.69
|
|
|
DRILL 2.5MM
|
Facility
|
OP
|
$615.00
|
|
| Hospital Charge Code |
270656780
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$79.95 |
| Max. Negotiated Rate |
$307.50 |
| Rate for Payer: Aetna Commercial |
$184.50
|
| Rate for Payer: Aetna Medicare Advantage |
$184.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$156.82
|
| Rate for Payer: Cigna Commercial |
$307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.95
|
| Rate for Payer: Oxford Commercial |
$307.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$307.50
|
|
|
DRILL 2.5MM
|
Facility
|
IP
|
$615.00
|
|
| Hospital Charge Code |
270656780
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$92.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
|
|
DRILL 2.5MM
|
Facility
|
IP
|
$615.00
|
|
| Hospital Charge Code |
270656779
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$92.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
|
|
DRILL 2.5MM
|
Facility
|
OP
|
$615.00
|
|
| Hospital Charge Code |
270656779
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$79.95 |
| Max. Negotiated Rate |
$307.50 |
| Rate for Payer: Aetna Commercial |
$184.50
|
| Rate for Payer: Aetna Medicare Advantage |
$184.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$156.82
|
| Rate for Payer: Cigna Commercial |
$307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.95
|
| Rate for Payer: Oxford Commercial |
$307.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$307.50
|
|
|
DRILL 2.6 X130MM CANNUALTED
|
Facility
|
OP
|
$1,550.00
|
|
| Hospital Charge Code |
270690336
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$201.50 |
| Max. Negotiated Rate |
$775.00 |
| Rate for Payer: Aetna Commercial |
$465.00
|
| Rate for Payer: Aetna Medicare Advantage |
$465.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$395.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$395.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$395.25
|
| Rate for Payer: Cigna Commercial |
$775.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$201.50
|
| Rate for Payer: Oxford Commercial |
$775.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$232.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$775.00
|
|
|
DRILL 2.6 X130MM CANNUALTED
|
Facility
|
IP
|
$1,550.00
|
|
| Hospital Charge Code |
270690336
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$232.50 |
| Max. Negotiated Rate |
$232.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$232.50
|
|
|
DRILL 2.8
|
Facility
|
OP
|
$679.15
|
|
| Hospital Charge Code |
270690805
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.29 |
| Max. Negotiated Rate |
$339.57 |
| Rate for Payer: Aetna Commercial |
$203.75
|
| Rate for Payer: Aetna Medicare Advantage |
$203.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$173.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$173.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$173.18
|
| Rate for Payer: Cigna Commercial |
$339.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$88.29
|
| Rate for Payer: Oxford Commercial |
$339.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$101.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$339.57
|
|
|
DRILL 2.8
|
Facility
|
IP
|
$679.15
|
|
| Hospital Charge Code |
270690805
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$101.87 |
| Max. Negotiated Rate |
$101.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$101.87
|
|
|
DRILL 2.8MM
|
Facility
|
IP
|
$615.00
|
|
| Hospital Charge Code |
270665924
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$92.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
|
|
DRILL 2.8MM
|
Facility
|
OP
|
$330.00
|
|
| Hospital Charge Code |
270671064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.90 |
| Max. Negotiated Rate |
$165.00 |
| Rate for Payer: Aetna Commercial |
$99.00
|
| Rate for Payer: Aetna Medicare Advantage |
$99.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$84.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$84.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$84.15
|
| Rate for Payer: Cigna Commercial |
$165.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.90
|
| Rate for Payer: Oxford Commercial |
$165.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$165.00
|
|
|
DRILL 2.8MM
|
Facility
|
IP
|
$330.00
|
|
| Hospital Charge Code |
270671064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.50 |
| Max. Negotiated Rate |
$49.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.50
|
|
|
DRILL 2.8MM
|
Facility
|
OP
|
$615.00
|
|
| Hospital Charge Code |
270665924
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$79.95 |
| Max. Negotiated Rate |
$307.50 |
| Rate for Payer: Aetna Commercial |
$184.50
|
| Rate for Payer: Aetna Medicare Advantage |
$184.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$156.82
|
| Rate for Payer: Cigna Commercial |
$307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.95
|
| Rate for Payer: Oxford Commercial |
$307.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$307.50
|
|
|
DRILL 2.9/5.0mm 145mmREAMER QC
|
Facility
|
OP
|
$1,878.00
|
|
| Hospital Charge Code |
270662832
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$244.14 |
| Max. Negotiated Rate |
$939.00 |
| Rate for Payer: Aetna Commercial |
$563.40
|
| Rate for Payer: Aetna Medicare Advantage |
$563.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$478.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$478.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$478.89
|
| Rate for Payer: Cigna Commercial |
$939.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$244.14
|
| Rate for Payer: Oxford Commercial |
$939.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$281.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$939.00
|
|
|
DRILL 2.9/5.0mm 145mmREAMER QC
|
Facility
|
IP
|
$1,878.00
|
|
| Hospital Charge Code |
270662832
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$281.70 |
| Max. Negotiated Rate |
$281.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$281.70
|
|
|
DRILL 3.0MM
|
Facility
|
IP
|
$615.00
|
|
| Hospital Charge Code |
270683639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$92.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
|
|
DRILL 3.0MM
|
Facility
|
OP
|
$615.00
|
|
| Hospital Charge Code |
270683639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$79.95 |
| Max. Negotiated Rate |
$307.50 |
| Rate for Payer: Aetna Commercial |
$184.50
|
| Rate for Payer: Aetna Medicare Advantage |
$184.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$156.82
|
| Rate for Payer: Cigna Commercial |
$307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.95
|
| Rate for Payer: Oxford Commercial |
$307.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$307.50
|
|
|
DRILL 3.2
|
Facility
|
IP
|
$840.00
|
|
| Hospital Charge Code |
270684553
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$126.00 |
| Max. Negotiated Rate |
$126.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$126.00
|
|
|
DRILL 3.2
|
Facility
|
OP
|
$840.00
|
|
| Hospital Charge Code |
270684553
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$109.20 |
| Max. Negotiated Rate |
$420.00 |
| Rate for Payer: Aetna Commercial |
$252.00
|
| Rate for Payer: Aetna Medicare Advantage |
$252.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$214.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$214.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$214.20
|
| Rate for Payer: Cigna Commercial |
$420.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$109.20
|
| Rate for Payer: Oxford Commercial |
$420.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$126.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$420.00
|
|