|
HAND CONTROL
|
Facility
|
IP
|
$508.80
|
|
| Hospital Charge Code |
270683670
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$76.32 |
| Max. Negotiated Rate |
$76.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$76.32
|
|
|
HAND CONTROL
|
Facility
|
OP
|
$508.80
|
|
| Hospital Charge Code |
270683670
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$66.14 |
| Max. Negotiated Rate |
$254.40 |
| Rate for Payer: Aetna Commercial |
$152.64
|
| Rate for Payer: Aetna Medicare Advantage |
$152.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$129.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$129.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$129.74
|
| Rate for Payer: Cigna Commercial |
$254.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$66.14
|
| Rate for Payer: Oxford Commercial |
$254.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$76.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$254.40
|
|
|
HAND CREAM 180G
|
Facility
|
OP
|
$52.50
|
|
| Hospital Charge Code |
6009633
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.83 |
| Max. Negotiated Rate |
$26.25 |
| Rate for Payer: Aetna Commercial |
$15.75
|
| Rate for Payer: Aetna Medicare Advantage |
$15.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.39
|
| Rate for Payer: Cigna Commercial |
$26.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.83
|
| Rate for Payer: Oxford Commercial |
$26.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$26.25
|
|
|
HAND CREAM 180G
|
Facility
|
IP
|
$52.50
|
|
| Hospital Charge Code |
6009633
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.88 |
| Max. Negotiated Rate |
$7.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.88
|
|
|
HANDLE
|
Facility
|
IP
|
$1,575.00
|
|
| Hospital Charge Code |
270656681
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$236.25 |
| Max. Negotiated Rate |
$236.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$236.25
|
|
|
HANDLE
|
Facility
|
OP
|
$1,575.00
|
|
| Hospital Charge Code |
270656681
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$204.75 |
| Max. Negotiated Rate |
$787.50 |
| Rate for Payer: Aetna Commercial |
$472.50
|
| Rate for Payer: Aetna Medicare Advantage |
$472.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$401.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$401.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$401.62
|
| Rate for Payer: Cigna Commercial |
$787.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$204.75
|
| Rate for Payer: Oxford Commercial |
$787.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$236.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$787.50
|
|
|
HANDLE ENDO GIA 4 STANDARD STR
|
Facility
|
OP
|
$1,188.68
|
|
| Hospital Charge Code |
270652109
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$154.53 |
| Max. Negotiated Rate |
$594.34 |
| Rate for Payer: Aetna Commercial |
$356.60
|
| Rate for Payer: Aetna Medicare Advantage |
$356.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$303.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$303.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$303.11
|
| Rate for Payer: Cigna Commercial |
$594.34
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$154.53
|
| Rate for Payer: Oxford Commercial |
$594.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$178.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$594.34
|
|
|
HANDLE ENDO GIA 4 STANDARD STR
|
Facility
|
IP
|
$1,188.68
|
|
| Hospital Charge Code |
270652109
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$178.30 |
| Max. Negotiated Rate |
$178.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$178.30
|
|
|
HANDLE FLIPCUTTER
|
Facility
|
IP
|
$2,625.00
|
|
| Hospital Charge Code |
270679853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$393.75 |
| Max. Negotiated Rate |
$393.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$393.75
|
|
|
HANDLE FLIPCUTTER
|
Facility
|
OP
|
$2,625.00
|
|
| Hospital Charge Code |
270679853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$341.25 |
| Max. Negotiated Rate |
$1,312.50 |
| Rate for Payer: Aetna Commercial |
$787.50
|
| Rate for Payer: Aetna Medicare Advantage |
$787.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$669.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$669.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$669.38
|
| Rate for Payer: Cigna Commercial |
$1,312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$341.25
|
| Rate for Payer: Oxford Commercial |
$1,312.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$393.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,312.50
|
|
|
HANDLE JEWELERS KNOB AO
|
Facility
|
IP
|
$1,750.00
|
|
| Hospital Charge Code |
270690429
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
HANDLE JEWELERS KNOB AO
|
Facility
|
OP
|
$1,750.00
|
|
| Hospital Charge Code |
270690429
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$227.50 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$525.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$227.50
|
| Rate for Payer: Oxford Commercial |
$875.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$875.00
|
|
|
HANDLE LED FIBER OPTIC PENLIGH
|
Facility
|
IP
|
$445.00
|
|
| Hospital Charge Code |
270683069
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
|
|
HANDLE LED FIBER OPTIC PENLIGH
|
Facility
|
OP
|
$445.00
|
|
| Hospital Charge Code |
270683069
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.85 |
| Max. Negotiated Rate |
$222.50 |
| Rate for Payer: Aetna Commercial |
$133.50
|
| Rate for Payer: Aetna Medicare Advantage |
$133.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$113.47
|
| Rate for Payer: Cigna Commercial |
$222.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$57.85
|
| Rate for Payer: Oxford Commercial |
$222.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$222.50
|
|
|
HANDLE LIGASURE MARYLAND 44 CM
|
Facility
|
OP
|
$2,931.60
|
|
| Hospital Charge Code |
270691741
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$381.11 |
| Max. Negotiated Rate |
$1,465.80 |
| Rate for Payer: Aetna Commercial |
$879.48
|
| Rate for Payer: Aetna Medicare Advantage |
$879.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$747.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$747.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$747.56
|
| Rate for Payer: Cigna Commercial |
$1,465.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$381.11
|
| Rate for Payer: Oxford Commercial |
$1,465.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$439.74
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,465.80
|
|
|
HANDLE LIGASURE MARYLAND 44 CM
|
Facility
|
IP
|
$2,931.60
|
|
| Hospital Charge Code |
270691741
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$439.74 |
| Max. Negotiated Rate |
$439.74 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$439.74
|
|
|
HANDLE LIGHT DISP DEVON
|
Facility
|
OP
|
$9.65
|
|
| Hospital Charge Code |
270608052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.25 |
| Max. Negotiated Rate |
$4.83 |
| Rate for Payer: Aetna Commercial |
$2.90
|
| Rate for Payer: Aetna Medicare Advantage |
$2.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.46
|
| Rate for Payer: Cigna Commercial |
$4.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.25
|
| Rate for Payer: Oxford Commercial |
$4.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.83
|
|
|
HANDLE LIGHT DISP DEVON
|
Facility
|
IP
|
$9.65
|
|
| Hospital Charge Code |
270608052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.45 |
| Max. Negotiated Rate |
$1.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.45
|
|
|
HANDLE LONG SCALPEL
|
Facility
|
IP
|
$6,665.55
|
|
| Hospital Charge Code |
270691503
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$999.83 |
| Max. Negotiated Rate |
$999.83 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$999.83
|
|
|
HANDLE LONG SCALPEL
|
Facility
|
OP
|
$6,665.55
|
|
| Hospital Charge Code |
270691503
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$866.52 |
| Max. Negotiated Rate |
$3,332.78 |
| Rate for Payer: Aetna Commercial |
$1,999.66
|
| Rate for Payer: Aetna Medicare Advantage |
$1,999.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,699.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,699.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,699.72
|
| Rate for Payer: Cigna Commercial |
$3,332.78
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$866.52
|
| Rate for Payer: Oxford Commercial |
$3,332.78
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$999.83
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,332.78
|
|
|
HANDLE MDT DEPLOY STENT YR5100
|
Facility
|
OP
|
$5,111.25
|
|
| Hospital Charge Code |
270623302
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$664.46 |
| Max. Negotiated Rate |
$2,555.62 |
| Rate for Payer: Aetna Commercial |
$1,533.38
|
| Rate for Payer: Aetna Medicare Advantage |
$1,533.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,303.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,303.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,303.37
|
| Rate for Payer: Cigna Commercial |
$2,555.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$664.46
|
| Rate for Payer: Oxford Commercial |
$2,555.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$766.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,555.62
|
|
|
HANDLE MDT DEPLOY STENT YR5100
|
Facility
|
IP
|
$5,111.25
|
|
| Hospital Charge Code |
270623302
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$766.69 |
| Max. Negotiated Rate |
$766.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$766.69
|
|
|
HANDLE QUICK RATCHETING
|
Facility
|
OP
|
$4,950.00
|
|
| Hospital Charge Code |
270690997
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$643.50 |
| Max. Negotiated Rate |
$2,475.00 |
| Rate for Payer: Aetna Commercial |
$1,485.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,485.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,262.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,262.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,262.25
|
| Rate for Payer: Cigna Commercial |
$2,475.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$643.50
|
| Rate for Payer: Oxford Commercial |
$2,475.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$742.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,475.00
|
|
|
HANDLE QUICK RATCHETING
|
Facility
|
IP
|
$4,950.00
|
|
| Hospital Charge Code |
270690997
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$742.50 |
| Max. Negotiated Rate |
$742.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$742.50
|
|
|
HANDLE SCREWDRIVER RATCHETING
|
Facility
|
OP
|
$2,365.00
|
|
| Hospital Charge Code |
270684772
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$307.45 |
| Max. Negotiated Rate |
$1,182.50 |
| Rate for Payer: Aetna Commercial |
$709.50
|
| Rate for Payer: Aetna Medicare Advantage |
$709.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$603.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$603.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$603.08
|
| Rate for Payer: Cigna Commercial |
$1,182.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$307.45
|
| Rate for Payer: Oxford Commercial |
$1,182.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$354.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,182.50
|
|