|
ELECTRODE BIPOLAR PACING 7FR
|
Facility
|
OP
|
$906.40
|
|
| Hospital Charge Code |
270650551
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$135.96 |
| Max. Negotiated Rate |
$453.20 |
| Rate for Payer: Aetna Commercial |
$271.92
|
| Rate for Payer: Aetna Medicare Advantage |
$271.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$231.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$231.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$181.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$231.13
|
| Rate for Payer: Cigna Commercial |
$453.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$219.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$135.96
|
|
|
ELECTRODE BIPOLAR PACING 7FR
|
Facility
|
IP
|
$906.40
|
|
| Hospital Charge Code |
270650551
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$135.96 |
| Max. Negotiated Rate |
$219.35 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$181.28
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$219.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$135.96
|
|
|
ELECTRODE BLADE EXTENDER
|
Facility
|
IP
|
$24.49
|
|
| Hospital Charge Code |
270649194
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
|
|
ELECTRODE BLADE EXTENDER
|
Facility
|
OP
|
$24.49
|
|
| Hospital Charge Code |
270649194
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.18 |
| Max. Negotiated Rate |
$12.24 |
| Rate for Payer: Aetna Commercial |
$7.35
|
| Rate for Payer: Aetna Medicare Advantage |
$7.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.24
|
| Rate for Payer: Cigna Commercial |
$12.24
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.18
|
| Rate for Payer: Oxford Commercial |
$12.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.24
|
|
|
ELECTRODE COAG BALL 24FR 5MM
|
Facility
|
OP
|
$561.75
|
|
| Hospital Charge Code |
270601412
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.03 |
| Max. Negotiated Rate |
$280.88 |
| Rate for Payer: Aetna Commercial |
$168.53
|
| Rate for Payer: Aetna Medicare Advantage |
$168.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$143.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$143.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$143.25
|
| Rate for Payer: Cigna Commercial |
$280.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$73.03
|
| Rate for Payer: Oxford Commercial |
$280.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$84.26
|
| Rate for Payer: UnitedHealthcare Commercial |
$280.88
|
|
|
ELECTRODE COAG BALL 24FR 5MM
|
Facility
|
IP
|
$561.75
|
|
| Hospital Charge Code |
270601412
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$84.26 |
| Max. Negotiated Rate |
$84.26 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$84.26
|
|
|
ELECTRODE COAG BALL END 6 FR
|
Facility
|
OP
|
$700.00
|
|
| Hospital Charge Code |
270660116
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$91.00 |
| Max. Negotiated Rate |
$350.00 |
| Rate for Payer: Aetna Commercial |
$210.00
|
| Rate for Payer: Aetna Medicare Advantage |
$210.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$178.50
|
| Rate for Payer: Cigna Commercial |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$91.00
|
| Rate for Payer: Oxford Commercial |
$350.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$350.00
|
|
|
ELECTRODE COAG BALL END 6 FR
|
Facility
|
IP
|
$700.00
|
|
| Hospital Charge Code |
270660116
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.00
|
|
|
ELECTRODE/CORD LIGASURE MAX
|
Facility
|
OP
|
$1,505.56
|
|
| Hospital Charge Code |
270644316
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$195.72 |
| Max. Negotiated Rate |
$752.78 |
| Rate for Payer: Aetna Commercial |
$451.67
|
| Rate for Payer: Aetna Medicare Advantage |
$451.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$383.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$383.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$383.92
|
| Rate for Payer: Cigna Commercial |
$752.78
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$195.72
|
| Rate for Payer: Oxford Commercial |
$752.78
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$225.83
|
| Rate for Payer: UnitedHealthcare Commercial |
$752.78
|
|
|
ELECTRODE/CORD LIGASURE MAX
|
Facility
|
IP
|
$1,505.56
|
|
| Hospital Charge Code |
270644316
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$225.83 |
| Max. Negotiated Rate |
$225.83 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$225.83
|
|
|
ELECTRODE CUTTING LOOP 24FR
|
Facility
|
OP
|
$364.58
|
|
| Hospital Charge Code |
270655404
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$47.40 |
| Max. Negotiated Rate |
$182.29 |
| Rate for Payer: Aetna Commercial |
$109.37
|
| Rate for Payer: Aetna Medicare Advantage |
$109.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$92.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$92.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$92.97
|
| Rate for Payer: Cigna Commercial |
$182.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$47.40
|
| Rate for Payer: Oxford Commercial |
$182.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$182.29
|
|
|
ELECTRODE CUTTING LOOP 24FR
|
Facility
|
IP
|
$364.58
|
|
| Hospital Charge Code |
270655404
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$54.69 |
| Max. Negotiated Rate |
$54.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.69
|
|
|
ELECTRODE CUTTING LOOP 26FR
|
Facility
|
OP
|
$353.33
|
|
| Hospital Charge Code |
270655405
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.93 |
| Max. Negotiated Rate |
$176.66 |
| Rate for Payer: Aetna Commercial |
$106.00
|
| Rate for Payer: Aetna Medicare Advantage |
$106.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$90.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$90.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$90.10
|
| Rate for Payer: Cigna Commercial |
$176.66
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$45.93
|
| Rate for Payer: Oxford Commercial |
$176.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$176.66
|
|
|
ELECTRODE CUTTING LOOP 26FR
|
Facility
|
IP
|
$353.33
|
|
| Hospital Charge Code |
270655405
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.00 |
| Max. Negotiated Rate |
$53.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.00
|
|
|
ELECTRODE CUTTING LOOPS 24FR.
|
Facility
|
IP
|
$464.00
|
|
| Hospital Charge Code |
270331566
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$69.60 |
| Max. Negotiated Rate |
$69.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.60
|
|
|
ELECTRODE CUTTING LOOPS 24FR.
|
Facility
|
OP
|
$464.00
|
|
| Hospital Charge Code |
270331566
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$60.32 |
| Max. Negotiated Rate |
$232.00 |
| Rate for Payer: Aetna Commercial |
$139.20
|
| Rate for Payer: Aetna Medicare Advantage |
$139.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$118.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$118.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$118.32
|
| Rate for Payer: Cigna Commercial |
$232.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$60.32
|
| Rate for Payer: Oxford Commercial |
$232.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$232.00
|
|
|
ELECTRODE DEFIB CADENCE 2255OR
|
Facility
|
IP
|
$103.20
|
|
| Hospital Charge Code |
270633060
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.48 |
| Max. Negotiated Rate |
$15.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.48
|
|
|
ELECTRODE DEFIB CADENCE 2255OR
|
Facility
|
OP
|
$103.20
|
|
| Hospital Charge Code |
270633060
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$51.60 |
| Rate for Payer: Aetna Commercial |
$30.96
|
| Rate for Payer: Aetna Medicare Advantage |
$30.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$26.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$26.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$26.32
|
| Rate for Payer: Cigna Commercial |
$51.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.42
|
| Rate for Payer: Oxford Commercial |
$51.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$51.60
|
|
|
ELECTRODE DISPERSIVE
|
Facility
|
IP
|
$86.65
|
|
| Hospital Charge Code |
270670973
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$13.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.00
|
|
|
ELECTRODE DISPERSIVE
|
Facility
|
OP
|
$86.65
|
|
| Hospital Charge Code |
270670973
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.26 |
| Max. Negotiated Rate |
$43.33 |
| Rate for Payer: Aetna Commercial |
$26.00
|
| Rate for Payer: Aetna Medicare Advantage |
$26.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$22.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$22.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$22.10
|
| Rate for Payer: Cigna Commercial |
$43.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.26
|
| Rate for Payer: Oxford Commercial |
$43.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$43.33
|
|
|
ELECTRODE ECG 5400
|
Facility
|
OP
|
$0.11
|
|
| Hospital Charge Code |
270628909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$0.06 |
| Rate for Payer: Aetna Commercial |
$0.03
|
| Rate for Payer: Aetna Medicare Advantage |
$0.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.03
|
| Rate for Payer: Cigna Commercial |
$0.06
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.01
|
| Rate for Payer: Oxford Commercial |
$0.06
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.06
|
|
|
ELECTRODE ECG 5400
|
Facility
|
IP
|
$0.11
|
|
| Hospital Charge Code |
270628909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$0.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.02
|
|
|
ELECTRODE ECG Q TRACE 5500
|
Facility
|
IP
|
$220.40
|
|
| Hospital Charge Code |
270653995
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.06 |
| Max. Negotiated Rate |
$33.06 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.06
|
|
|
ELECTRODE ECG Q TRACE 5500
|
Facility
|
OP
|
$220.40
|
|
| Hospital Charge Code |
270653995
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.65 |
| Max. Negotiated Rate |
$110.20 |
| Rate for Payer: Aetna Commercial |
$66.12
|
| Rate for Payer: Aetna Medicare Advantage |
$66.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$56.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$56.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$56.20
|
| Rate for Payer: Cigna Commercial |
$110.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.65
|
| Rate for Payer: Oxford Commercial |
$110.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.06
|
| Rate for Payer: UnitedHealthcare Commercial |
$110.20
|
|
|
ELECTRODE EKG RESTING
|
Facility
|
OP
|
$5.40
|
|
| Hospital Charge Code |
270658816
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.70 |
| Max. Negotiated Rate |
$2.70 |
| Rate for Payer: Aetna Commercial |
$1.62
|
| Rate for Payer: Aetna Medicare Advantage |
$1.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.38
|
| Rate for Payer: Cigna Commercial |
$2.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.70
|
| Rate for Payer: Oxford Commercial |
$2.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.70
|
|