|
DRILL 8 MM ANCHOR
|
Facility
|
IP
|
$979.95
|
|
| Hospital Charge Code |
270690397
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.99 |
| Max. Negotiated Rate |
$146.99 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.99
|
|
|
DRILL ACORN 10MM
|
Facility
|
OP
|
$1,360.00
|
|
| Hospital Charge Code |
270637722
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$176.80 |
| Max. Negotiated Rate |
$680.00 |
| Rate for Payer: Aetna Commercial |
$408.00
|
| Rate for Payer: Aetna Medicare Advantage |
$408.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$346.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$346.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$346.80
|
| Rate for Payer: Cigna Commercial |
$680.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$176.80
|
| Rate for Payer: Oxford Commercial |
$680.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$204.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$680.00
|
|
|
DRILL ACORN 10MM
|
Facility
|
IP
|
$1,360.00
|
|
| Hospital Charge Code |
270637722
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$204.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$204.00
|
|
|
DRILL ACP 11MM
|
Facility
|
IP
|
$2,750.00
|
|
| Hospital Charge Code |
270693940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$412.50 |
| Max. Negotiated Rate |
$412.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$412.50
|
|
|
DRILL ACP 11MM
|
Facility
|
OP
|
$2,750.00
|
|
| Hospital Charge Code |
270693940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$357.50 |
| Max. Negotiated Rate |
$1,375.00 |
| Rate for Payer: Aetna Commercial |
$825.00
|
| Rate for Payer: Aetna Medicare Advantage |
$825.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$701.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$701.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$701.25
|
| Rate for Payer: Cigna Commercial |
$1,375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$357.50
|
| Rate for Payer: Oxford Commercial |
$1,375.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$412.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,375.00
|
|
|
DRILL AO 2.4X160MM SOLID LG
|
Facility
|
IP
|
$852.50
|
|
| Hospital Charge Code |
270701408
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$127.88 |
| Max. Negotiated Rate |
$206.31 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$170.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$206.31
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.88
|
|
|
DRILL AO 2.4X160MM SOLID LG
|
Facility
|
OP
|
$852.50
|
|
| Hospital Charge Code |
270701408
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$127.88 |
| Max. Negotiated Rate |
$426.25 |
| Rate for Payer: Aetna Commercial |
$255.75
|
| Rate for Payer: Aetna Medicare Advantage |
$255.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$217.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$217.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$170.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$217.39
|
| Rate for Payer: Cigna Commercial |
$426.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$206.31
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.88
|
|
|
DRILL AO LONG 2.6x220MM
|
Facility
|
OP
|
$1,370.00
|
|
| Hospital Charge Code |
270673667
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$178.10 |
| Max. Negotiated Rate |
$685.00 |
| Rate for Payer: Aetna Commercial |
$411.00
|
| Rate for Payer: Aetna Medicare Advantage |
$411.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$349.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$349.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$349.35
|
| Rate for Payer: Cigna Commercial |
$685.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$178.10
|
| Rate for Payer: Oxford Commercial |
$685.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$205.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$685.00
|
|
|
DRILL AO LONG 2.6x220MM
|
Facility
|
IP
|
$1,370.00
|
|
| Hospital Charge Code |
270673667
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$205.50 |
| Max. Negotiated Rate |
$205.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$205.50
|
|
|
DRILL AO SCALED 1.6 X 96MM
|
Facility
|
IP
|
$1,232.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270700512
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$184.83 |
| Max. Negotiated Rate |
$298.19 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.44
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$298.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$184.83
|
|
|
DRILL AO SCALED 1.6 X 96MM
|
Facility
|
OP
|
$1,232.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270700512
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$184.83 |
| Max. Negotiated Rate |
$616.10 |
| Rate for Payer: Aetna Commercial |
$369.66
|
| Rate for Payer: Aetna Medicare Advantage |
$369.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$314.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$314.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$246.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$314.21
|
| Rate for Payer: Cigna Commercial |
$616.10
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$298.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$184.83
|
|
|
DRILL AO STERILE
|
Facility
|
IP
|
$1,340.00
|
|
| Hospital Charge Code |
270648815
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$201.00 |
| Max. Negotiated Rate |
$201.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$201.00
|
|
|
DRILL AO STERILE
|
Facility
|
OP
|
$1,340.00
|
|
| Hospital Charge Code |
270648815
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$174.20 |
| Max. Negotiated Rate |
$670.00 |
| Rate for Payer: Aetna Commercial |
$402.00
|
| Rate for Payer: Aetna Medicare Advantage |
$402.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$341.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$341.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$341.70
|
| Rate for Payer: Cigna Commercial |
$670.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$174.20
|
| Rate for Payer: Oxford Commercial |
$670.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$201.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$670.00
|
|
|
DRILL AO STERILE 4.2X230MM
|
Facility
|
IP
|
$1,465.00
|
|
| Hospital Charge Code |
270668728
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$219.75 |
| Max. Negotiated Rate |
$219.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$219.75
|
|
|
DRILL AO STERILE 4.2X230MM
|
Facility
|
OP
|
$1,465.00
|
|
| Hospital Charge Code |
270668728
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$190.45 |
| Max. Negotiated Rate |
$732.50 |
| Rate for Payer: Aetna Commercial |
$439.50
|
| Rate for Payer: Aetna Medicare Advantage |
$439.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$373.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$373.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$373.57
|
| Rate for Payer: Cigna Commercial |
$732.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$190.45
|
| Rate for Payer: Oxford Commercial |
$732.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$219.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$732.50
|
|
|
DRILL AO STERILE 4.2x260
|
Facility
|
OP
|
$935.00
|
|
| Hospital Charge Code |
270639020
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.55 |
| Max. Negotiated Rate |
$467.50 |
| Rate for Payer: Aetna Commercial |
$280.50
|
| Rate for Payer: Aetna Medicare Advantage |
$280.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$238.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$238.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$238.43
|
| Rate for Payer: Cigna Commercial |
$467.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$121.55
|
| Rate for Payer: Oxford Commercial |
$467.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$140.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$467.50
|
|
|
DRILL AO STERILE 4.2x260
|
Facility
|
IP
|
$935.00
|
|
| Hospital Charge Code |
270639020
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$140.25 |
| Max. Negotiated Rate |
$140.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$140.25
|
|
|
DRILL ATX CANN AR-1935CD
|
Facility
|
OP
|
$470.45
|
|
| Hospital Charge Code |
270622383
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.16 |
| Max. Negotiated Rate |
$235.22 |
| Rate for Payer: Aetna Commercial |
$141.13
|
| Rate for Payer: Aetna Medicare Advantage |
$141.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$119.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$119.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$119.96
|
| Rate for Payer: Cigna Commercial |
$235.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$61.16
|
| Rate for Payer: Oxford Commercial |
$235.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$235.22
|
|
|
DRILL ATX CANN AR-1935CD
|
Facility
|
IP
|
$470.45
|
|
| Hospital Charge Code |
270622383
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$70.57 |
| Max. Negotiated Rate |
$70.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.57
|
|
|
DRILL AWL 2.0X10MM
|
Facility
|
OP
|
$1,250.00
|
|
| Hospital Charge Code |
270693364
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$162.50 |
| Max. Negotiated Rate |
$625.00 |
| Rate for Payer: Aetna Commercial |
$375.00
|
| Rate for Payer: Aetna Medicare Advantage |
$375.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$318.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$318.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$318.75
|
| Rate for Payer: Cigna Commercial |
$625.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$162.50
|
| Rate for Payer: Oxford Commercial |
$625.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$625.00
|
|
|
DRILL AWL 2.0X10MM
|
Facility
|
IP
|
$1,250.00
|
|
| Hospital Charge Code |
270693364
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$187.50 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.50
|
|
|
DRILL BIT
|
Facility
|
IP
|
$682.50
|
|
| Hospital Charge Code |
270683743
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$102.38 |
| Max. Negotiated Rate |
$102.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.38
|
|
|
DRILL BIT
|
Facility
|
OP
|
$260.00
|
|
| Hospital Charge Code |
270689641
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.80 |
| Max. Negotiated Rate |
$130.00 |
| Rate for Payer: Aetna Commercial |
$78.00
|
| Rate for Payer: Aetna Medicare Advantage |
$78.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$66.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$66.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$66.30
|
| Rate for Payer: Cigna Commercial |
$130.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.80
|
| Rate for Payer: Oxford Commercial |
$130.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$130.00
|
|
|
DRILL BIT
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270677990
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$126.75 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$292.50
|
| 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 |
$126.75
|
| Rate for Payer: Oxford Commercial |
$487.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$487.50
|
|
|
DRILL BIT
|
Facility
|
OP
|
$682.50
|
|
| Hospital Charge Code |
270683743
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.72 |
| Max. Negotiated Rate |
$341.25 |
| Rate for Payer: Aetna Commercial |
$204.75
|
| Rate for Payer: Aetna Medicare Advantage |
$204.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$174.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$174.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$174.04
|
| Rate for Payer: Cigna Commercial |
$341.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$88.72
|
| Rate for Payer: Oxford Commercial |
$341.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$341.25
|
|