|
FLIPCUTTER 8MM
|
Facility
|
OP
|
$2,325.00
|
|
| Hospital Charge Code |
270663952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$302.25 |
| Max. Negotiated Rate |
$1,162.50 |
| Rate for Payer: Aetna Commercial |
$697.50
|
| Rate for Payer: Aetna Medicare Advantage |
$697.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$592.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$592.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$592.88
|
| Rate for Payer: Cigna Commercial |
$1,162.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$302.25
|
| Rate for Payer: Oxford Commercial |
$1,162.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$348.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,162.50
|
|
|
FLIPCUTTER 9.5MM
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270666960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$211.25 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$487.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$812.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$812.50
|
|
|
FLIPCUTTER 9.5MM
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270666960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
FLIPCUTTER 9MM
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270669596
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$211.25 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$487.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$812.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$812.50
|
|
|
FLIPCUTTER 9MM
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270669596
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
FLIPCUTTER II 10.5MM
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270659654
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
FLIPCUTTER II 10.5MM
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270659654
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$211.25 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$487.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$812.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$812.50
|
|
|
FLIPCUTTER II 12MM
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270685170
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
FLIPCUTTER II 12MM
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270685170
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$211.25 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$487.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$812.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$812.50
|
|
|
FLIPCUTTER II 6MM
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270671284
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$211.25 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$487.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$812.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$812.50
|
|
|
FLIPCUTTER II 6MM
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270671284
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
FLIPCUTTER II 7MM
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270670866
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$211.25 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$487.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$812.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$812.50
|
|
|
FLIPCUTTER II 7MM
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270670866
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
FLIPCUTTER II SHORT 9MM
|
Facility
|
IP
|
$1,625.00
|
|
| Hospital Charge Code |
270681911
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$243.75 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
|
|
FLIPCUTTER II SHORT 9MM
|
Facility
|
OP
|
$1,625.00
|
|
| Hospital Charge Code |
270681911
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$211.25 |
| Max. Negotiated Rate |
$812.50 |
| Rate for Payer: Aetna Commercial |
$487.50
|
| Rate for Payer: Aetna Medicare Advantage |
$487.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$414.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$414.38
|
| Rate for Payer: Cigna Commercial |
$812.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$812.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$243.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$812.50
|
|
|
FLIPCUTTER SHORT 11 MM
|
Facility
|
OP
|
$3,475.00
|
|
| Hospital Charge Code |
270679793
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$451.75 |
| Max. Negotiated Rate |
$1,737.50 |
| Rate for Payer: Aetna Commercial |
$1,042.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,042.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$886.12
|
| Rate for Payer: Cigna Commercial |
$1,737.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$451.75
|
| Rate for Payer: Oxford Commercial |
$1,737.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,737.50
|
|
|
FLIPCUTTER SHORT 11 MM
|
Facility
|
IP
|
$3,475.00
|
|
| Hospital Charge Code |
270679793
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$521.25 |
| Max. Negotiated Rate |
$521.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
|
|
FLIPCUTTER SHORT 8 MM
|
Facility
|
IP
|
$3,475.00
|
|
| Hospital Charge Code |
270681859
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$521.25 |
| Max. Negotiated Rate |
$521.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
|
|
FLIPCUTTER SHORT 8 MM
|
Facility
|
OP
|
$3,475.00
|
|
| Hospital Charge Code |
270681859
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$451.75 |
| Max. Negotiated Rate |
$1,737.50 |
| Rate for Payer: Aetna Commercial |
$1,042.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,042.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$886.12
|
| Rate for Payer: Cigna Commercial |
$1,737.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$451.75
|
| Rate for Payer: Oxford Commercial |
$1,737.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,737.50
|
|
|
FLIPCUTTER SHORT 9.5 MM
|
Facility
|
OP
|
$3,475.00
|
|
| Hospital Charge Code |
270679790
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$451.75 |
| Max. Negotiated Rate |
$1,737.50 |
| Rate for Payer: Aetna Commercial |
$1,042.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,042.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$886.12
|
| Rate for Payer: Cigna Commercial |
$1,737.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$451.75
|
| Rate for Payer: Oxford Commercial |
$1,737.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,737.50
|
|
|
FLIPCUTTER SHORT 9.5 MM
|
Facility
|
IP
|
$3,475.00
|
|
| Hospital Charge Code |
270679790
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$521.25 |
| Max. Negotiated Rate |
$521.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
|
|
FLIPCUTTER SHORT 9.MM
|
Facility
|
IP
|
$3,475.00
|
|
| Hospital Charge Code |
270679789
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$521.25 |
| Max. Negotiated Rate |
$521.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
|
|
FLIPCUTTER SHORT 9.MM
|
Facility
|
OP
|
$3,475.00
|
|
| Hospital Charge Code |
270679789
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$451.75 |
| Max. Negotiated Rate |
$1,737.50 |
| Rate for Payer: Aetna Commercial |
$1,042.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,042.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$886.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$886.12
|
| Rate for Payer: Cigna Commercial |
$1,737.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$451.75
|
| Rate for Payer: Oxford Commercial |
$1,737.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$521.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,737.50
|
|
|
FLIPCUTTER TRAY LOANER
|
Facility
|
OP
|
$1,250.00
|
|
| Hospital Charge Code |
270667129
|
|
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
|
|
|
FLIPCUTTER TRAY LOANER
|
Facility
|
IP
|
$1,250.00
|
|
| Hospital Charge Code |
270667129
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$187.50 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.50
|
|