|
DRILL BIT
|
Facility
|
OP
|
$825.00
|
|
| Hospital Charge Code |
270625803
|
|
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 BIT
|
Facility
|
IP
|
$3,780.00
|
|
| Hospital Charge Code |
270703902
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$567.00 |
| Max. Negotiated Rate |
$567.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$567.00
|
|
|
DRILL BIT
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270677990
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
DRILL BIT
|
Facility
|
OP
|
$955.00
|
|
| Hospital Charge Code |
270661750
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$124.15 |
| Max. Negotiated Rate |
$477.50 |
| Rate for Payer: Aetna Commercial |
$286.50
|
| Rate for Payer: Aetna Medicare Advantage |
$286.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$243.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$243.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$243.53
|
| Rate for Payer: Cigna Commercial |
$477.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$124.15
|
| Rate for Payer: Oxford Commercial |
$477.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$143.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$477.50
|
|
|
DRILL BIT
|
Facility
|
IP
|
$260.00
|
|
| Hospital Charge Code |
270689641
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$39.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.00
|
|
|
DRILL BIT
|
Facility
|
IP
|
$825.00
|
|
| Hospital Charge Code |
270625803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$123.75 |
| Max. Negotiated Rate |
$123.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$123.75
|
|
|
DRILL BIT
|
Facility
|
IP
|
$955.00
|
|
| Hospital Charge Code |
270661750
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$143.25 |
| Max. Negotiated Rate |
$143.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$143.25
|
|
|
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
|
|
|
DRILL BIT
|
Facility
|
OP
|
$366.00
|
|
| Hospital Charge Code |
270685257
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.58 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$109.80
|
| Rate for Payer: Aetna Medicare Advantage |
$109.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$93.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$93.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$93.33
|
| Rate for Payer: Cigna Commercial |
$183.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$47.58
|
| Rate for Payer: Oxford Commercial |
$183.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$183.00
|
|
|
DRILL BIT
|
Facility
|
IP
|
$366.00
|
|
| Hospital Charge Code |
270685257
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.90 |
| Max. Negotiated Rate |
$54.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.90
|
|
|
DRILL BIT
|
Facility
|
OP
|
$1,070.00
|
|
| Hospital Charge Code |
270677455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$139.10 |
| Max. Negotiated Rate |
$535.00 |
| Rate for Payer: Aetna Commercial |
$321.00
|
| Rate for Payer: Aetna Medicare Advantage |
$321.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$272.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$272.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$272.85
|
| Rate for Payer: Cigna Commercial |
$535.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$139.10
|
| Rate for Payer: Oxford Commercial |
$535.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$160.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$535.00
|
|
|
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 .059 IN
|
Facility
|
OP
|
$800.00
|
|
| Hospital Charge Code |
270689944
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$104.00 |
| Max. Negotiated Rate |
$400.00 |
| Rate for Payer: Aetna Commercial |
$240.00
|
| Rate for Payer: Aetna Medicare Advantage |
$240.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$204.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$204.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$204.00
|
| Rate for Payer: Cigna Commercial |
$400.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$104.00
|
| Rate for Payer: Oxford Commercial |
$400.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$400.00
|
|
|
DRILL BIT .059 IN
|
Facility
|
IP
|
$800.00
|
|
| Hospital Charge Code |
270689944
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$120.00 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$120.00
|
|
|
DRILL BIT 1.0 MM
|
Facility
|
IP
|
$366.00
|
|
| Hospital Charge Code |
270681689
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.90 |
| Max. Negotiated Rate |
$54.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.90
|
|
|
DRILL BIT 1.0 MM
|
Facility
|
OP
|
$366.00
|
|
| Hospital Charge Code |
270681689
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.58 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$109.80
|
| Rate for Payer: Aetna Medicare Advantage |
$109.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$93.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$93.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$93.33
|
| Rate for Payer: Cigna Commercial |
$183.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$47.58
|
| Rate for Payer: Oxford Commercial |
$183.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$183.00
|
|
|
DRILL BIT 1.1
|
Facility
|
OP
|
$875.00
|
|
| Hospital Charge Code |
270666010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$113.75 |
| Max. Negotiated Rate |
$437.50 |
| Rate for Payer: Aetna Commercial |
$262.50
|
| 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 |
$113.75
|
| Rate for Payer: Oxford Commercial |
$437.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$437.50
|
|
|
DRILL BIT 1.1
|
Facility
|
IP
|
$875.00
|
|
| Hospital Charge Code |
270666010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.25 |
| Max. Negotiated Rate |
$131.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
|
|
DRILL BIT 1.1 MM
|
Facility
|
OP
|
$366.00
|
|
| Hospital Charge Code |
270681688
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.58 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$109.80
|
| Rate for Payer: Aetna Medicare Advantage |
$109.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$93.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$93.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$93.33
|
| Rate for Payer: Cigna Commercial |
$183.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$47.58
|
| Rate for Payer: Oxford Commercial |
$183.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$183.00
|
|
|
DRILL BIT 1.1 MM
|
Facility
|
IP
|
$366.00
|
|
| Hospital Charge Code |
270681688
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.90 |
| Max. Negotiated Rate |
$54.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.90
|
|
|
DRILL BIT 11MM
|
Facility
|
OP
|
$1,670.00
|
|
| Hospital Charge Code |
270691791
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$217.10 |
| Max. Negotiated Rate |
$835.00 |
| Rate for Payer: Aetna Commercial |
$501.00
|
| Rate for Payer: Aetna Medicare Advantage |
$501.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$425.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$425.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$425.85
|
| Rate for Payer: Cigna Commercial |
$835.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$217.10
|
| Rate for Payer: Oxford Commercial |
$835.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$250.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$835.00
|
|
|
DRILL BIT 11MM
|
Facility
|
IP
|
$1,670.00
|
|
| Hospital Charge Code |
270691791
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$250.50 |
| Max. Negotiated Rate |
$250.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$250.50
|
|
|
DRILL BIT, 11MM
|
Facility
|
OP
|
$21.40
|
|
| Hospital Charge Code |
270665049
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.78 |
| Max. Negotiated Rate |
$10.70 |
| Rate for Payer: Aetna Commercial |
$6.42
|
| Rate for Payer: Aetna Medicare Advantage |
$6.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.46
|
| Rate for Payer: Cigna Commercial |
$10.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.78
|
| Rate for Payer: Oxford Commercial |
$10.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.21
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.70
|
|
|
DRILL BIT, 11MM
|
Facility
|
IP
|
$21.40
|
|
| Hospital Charge Code |
270665049
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.21 |
| Max. Negotiated Rate |
$3.21 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.21
|
|
|
DRILL BIT 1.1MM
|
Facility
|
IP
|
$107.80
|
|
| Hospital Charge Code |
270664050
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.17 |
| Max. Negotiated Rate |
$16.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.17
|
|