|
HANDPIECE VERSAJET 14MM 45D
|
Facility
|
OP
|
$2,975.00
|
|
| Hospital Charge Code |
270682396
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$386.75 |
| Max. Negotiated Rate |
$1,487.50 |
| Rate for Payer: Aetna Commercial |
$892.50
|
| Rate for Payer: Aetna Medicare Advantage |
$892.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$758.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$758.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$758.62
|
| Rate for Payer: Cigna Commercial |
$1,487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$386.75
|
| Rate for Payer: Oxford Commercial |
$1,487.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$446.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,487.50
|
|
|
HANDPIECE VERSA JET 15 x14 MM
|
Facility
|
IP
|
$2,975.00
|
|
| Hospital Charge Code |
270682395
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$446.25 |
| Max. Negotiated Rate |
$446.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$446.25
|
|
|
HANDPIECE VERSA JET 15 x14 MM
|
Facility
|
OP
|
$2,975.00
|
|
| Hospital Charge Code |
270682395
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$386.75 |
| Max. Negotiated Rate |
$1,487.50 |
| Rate for Payer: Aetna Commercial |
$892.50
|
| Rate for Payer: Aetna Medicare Advantage |
$892.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$758.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$758.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$758.62
|
| Rate for Payer: Cigna Commercial |
$1,487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$386.75
|
| Rate for Payer: Oxford Commercial |
$1,487.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$446.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,487.50
|
|
|
HANDPIECE VERSAJET 45DEG 8MM
|
Facility
|
OP
|
$3,600.00
|
|
| Hospital Charge Code |
270634305
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$468.00 |
| Max. Negotiated Rate |
$1,800.00 |
| Rate for Payer: Aetna Commercial |
$1,080.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,080.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$918.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$918.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$918.00
|
| Rate for Payer: Cigna Commercial |
$1,800.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$468.00
|
| Rate for Payer: Oxford Commercial |
$1,800.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$540.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,800.00
|
|
|
HANDPIECE VERSAJET 45DEG 8MM
|
Facility
|
IP
|
$3,600.00
|
|
| Hospital Charge Code |
270634305
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$540.00 |
| Max. Negotiated Rate |
$540.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$540.00
|
|
|
HAND PROCEDURES FOR INJURIES
|
Facility
|
IP
|
$68,837.49
|
|
|
Service Code
|
MSDRG 906
|
| Min. Negotiated Rate |
$21,435.59 |
| Max. Negotiated Rate |
$68,837.49 |
| Rate for Payer: Aetna Commercial |
$66,235.97
|
| Rate for Payer: Aetna Medicare Advantage |
$21,435.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51,825.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51,825.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$22,945.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51,825.96
|
| Rate for Payer: Cigna Commercial |
$37,928.61
|
| Rate for Payer: Cigna Medicare Advantage |
$22,945.83
|
| Rate for Payer: Clover Medicare Advantage |
$21,798.54
|
| Rate for Payer: EmblemHealth Commercial |
$68,837.49
|
| Rate for Payer: Humana Medicare Advantage |
$23,634.20
|
| Rate for Payer: Oxford Commercial |
$23,704.28
|
| Rate for Payer: UnitedHealthcare Commercial |
$26,906.56
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$22,945.83
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$24,322.58
|
| Rate for Payer: Wellcare Medicare Advantage |
$22,945.83
|
|
|
HAND PUMP PNEUMATIC DILATATION
|
Facility
|
IP
|
$683.40
|
|
| Hospital Charge Code |
270675991
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$102.51 |
| Max. Negotiated Rate |
$102.51 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.51
|
|
|
HAND PUMP PNEUMATIC DILATATION
|
Facility
|
OP
|
$683.40
|
|
| Hospital Charge Code |
270675991
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$88.84 |
| Max. Negotiated Rate |
$341.70 |
| Rate for Payer: Aetna Commercial |
$205.02
|
| Rate for Payer: Aetna Medicare Advantage |
$205.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$174.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$174.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$174.27
|
| Rate for Payer: Cigna Commercial |
$341.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$88.84
|
| Rate for Payer: Oxford Commercial |
$341.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.51
|
| Rate for Payer: UnitedHealthcare Commercial |
$341.70
|
|
|
HAND RIGHT 3 VIEWS
|
Facility
|
IP
|
$6,601.19
|
|
|
Service Code
|
HCPCS 73130RT
|
| Hospital Charge Code |
2000074
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$990.18 |
| Max. Negotiated Rate |
$990.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$990.18
|
|
|
HAND RIGHT 3 VIEWS
|
Facility
|
OP
|
$6,601.19
|
|
|
Service Code
|
HCPCS 73130RT
|
| Hospital Charge Code |
2000074
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$858.15 |
| Max. Negotiated Rate |
$3,300.59 |
| Rate for Payer: Aetna Commercial |
$1,980.36
|
| Rate for Payer: Aetna Medicare Advantage |
$1,980.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,683.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,683.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,683.30
|
| Rate for Payer: Cigna Commercial |
$3,300.59
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$858.15
|
| Rate for Payer: Oxford Commercial |
$1,311.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$990.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,489.00
|
|
|
HAND SWITCH FOR EPD
|
Facility
|
IP
|
$2,481.00
|
|
| Hospital Charge Code |
270674158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$372.15 |
| Max. Negotiated Rate |
$372.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$372.15
|
|
|
HAND SWITCH FOR EPD
|
Facility
|
OP
|
$2,481.00
|
|
| Hospital Charge Code |
270674158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$322.53 |
| Max. Negotiated Rate |
$1,240.50 |
| Rate for Payer: Aetna Commercial |
$744.30
|
| Rate for Payer: Aetna Medicare Advantage |
$744.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$632.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$632.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$632.65
|
| Rate for Payer: Cigna Commercial |
$1,240.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$322.53
|
| Rate for Payer: Oxford Commercial |
$1,240.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$372.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,240.50
|
|
|
HAND SWITCH SUCTION COAG.
|
Facility
|
OP
|
$99.00
|
|
| Hospital Charge Code |
270331853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.87 |
| Max. Negotiated Rate |
$49.50 |
| Rate for Payer: Aetna Commercial |
$29.70
|
| Rate for Payer: Aetna Medicare Advantage |
$29.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$25.25
|
| Rate for Payer: Cigna Commercial |
$49.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.87
|
| Rate for Payer: Oxford Commercial |
$49.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$49.50
|
|
|
HAND SWITCH SUCTION COAG.
|
Facility
|
IP
|
$99.00
|
|
| Hospital Charge Code |
270331853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.85 |
| Max. Negotiated Rate |
$14.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.85
|
|
|
HAND TENDON RECONSTRUCTION
|
Facility
|
IP
|
$13,677.40
|
|
|
Service Code
|
HCPCS 26502
|
| Hospital Charge Code |
16000850
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,051.61 |
| Max. Negotiated Rate |
$2,051.61 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,051.61
|
|
|
HAND TENDON RECONSTRUCTION
|
Facility
|
OP
|
$13,677.40
|
|
|
Service Code
|
HCPCS 26502
|
| Hospital Charge Code |
16000850
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,778.06 |
| Max. Negotiated Rate |
$7,791.93 |
| Rate for Payer: Aetna Commercial |
$4,103.22
|
| Rate for Payer: Aetna Medicare Advantage |
$4,103.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,487.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,487.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,487.74
|
| Rate for Payer: Cigna Commercial |
$7,791.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,778.06
|
| Rate for Payer: Oxford Commercial |
$6,055.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,051.61
|
| Rate for Payer: UnitedHealthcare Commercial |
$6,873.00
|
|
|
HANDWASH KINDEST KARE 4oz
|
Facility
|
IP
|
$5.44
|
|
| Hospital Charge Code |
270649936
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.82 |
| Max. Negotiated Rate |
$0.82 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.82
|
|
|
HANDWASH KINDEST KARE 4oz
|
Facility
|
OP
|
$5.44
|
|
| Hospital Charge Code |
270649936
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.71 |
| Max. Negotiated Rate |
$2.72 |
| Rate for Payer: Aetna Commercial |
$1.63
|
| Rate for Payer: Aetna Medicare Advantage |
$1.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.39
|
| Rate for Payer: Cigna Commercial |
$2.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.71
|
| Rate for Payer: Oxford Commercial |
$2.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.82
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.72
|
|
|
HANTA IGG/IGM
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.44 |
| Max. Negotiated Rate |
$443.55 |
| Rate for Payer: Cigna Commercial |
$12.88
|
| Rate for Payer: Cigna Medicare Advantage |
$6.44
|
| Rate for Payer: Aetna Commercial |
$41.73
|
| Rate for Payer: Aetna Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$47.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$47.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$443.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$47.19
|
| Rate for Payer: Clover Medicare Advantage |
$12.24
|
| Rate for Payer: EmblemHealth Commercial |
$38.64
|
| Rate for Payer: Humana Medicare Advantage |
$13.27
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.65
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.88
|
|
|
HANTA IGG/IGM
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
HANTA VIRUS
|
Facility
|
OP
|
$218.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
38476231
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$6.44 |
| Max. Negotiated Rate |
$443.55 |
| Rate for Payer: Aetna Commercial |
$41.73
|
| Rate for Payer: Aetna Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$47.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$47.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$443.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$47.19
|
| Rate for Payer: Cigna Commercial |
$12.88
|
| Rate for Payer: Cigna Medicare Advantage |
$6.44
|
| Rate for Payer: Clover Medicare Advantage |
$12.24
|
| Rate for Payer: EmblemHealth Commercial |
$38.64
|
| Rate for Payer: Humana Medicare Advantage |
$13.27
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.34
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.65
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.88
|
|
|
HANTA VIRUS
|
Facility
|
IP
|
$218.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
38476231
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$32.70 |
| Max. Negotiated Rate |
$32.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.70
|
|
|
HANTAVIRUS ANTIBODY
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
HANTAVIRUS ANTIBODY
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86790
|
| Hospital Charge Code |
401086790A
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.44 |
| Max. Negotiated Rate |
$443.55 |
| Rate for Payer: Aetna Commercial |
$41.73
|
| Rate for Payer: Aetna Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$47.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$47.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$443.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$47.19
|
| Rate for Payer: Cigna Commercial |
$12.88
|
| Rate for Payer: Cigna Medicare Advantage |
$6.44
|
| Rate for Payer: Clover Medicare Advantage |
$12.24
|
| Rate for Payer: EmblemHealth Commercial |
$38.64
|
| Rate for Payer: Humana Medicare Advantage |
$13.27
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.88
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.65
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.88
|
|
|
HAP02
|
Facility
|
IP
|
$6,075.00
|
|
| Hospital Charge Code |
270657205
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$911.25 |
| Max. Negotiated Rate |
$1,470.15 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,215.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,470.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$911.25
|
|