|
ANCHOR CRKSCW 5MM TTNM AR1920S
|
Facility
|
OP
|
$1,268.00
|
|
| Hospital Charge Code |
270611972
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$190.20 |
| Max. Negotiated Rate |
$634.00 |
| Rate for Payer: Aetna Commercial |
$380.40
|
| Rate for Payer: Aetna Medicare Advantage |
$380.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$323.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$323.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$323.34
|
| Rate for Payer: Cigna Commercial |
$634.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$306.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$190.20
|
|
|
ANCHOR DRILL GUIDE GRAFT
|
Facility
|
OP
|
$14,375.00
|
|
| Hospital Charge Code |
270691003
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,868.75 |
| Max. Negotiated Rate |
$7,187.50 |
| Rate for Payer: Aetna Commercial |
$4,312.50
|
| Rate for Payer: Aetna Medicare Advantage |
$4,312.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,665.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,665.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,665.62
|
| Rate for Payer: Cigna Commercial |
$7,187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,868.75
|
| Rate for Payer: Oxford Commercial |
$7,187.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,156.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7,187.50
|
|
|
ANCHOR DRILL GUIDE GRAFT
|
Facility
|
IP
|
$14,375.00
|
|
| Hospital Charge Code |
270691003
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2,156.25 |
| Max. Negotiated Rate |
$2,156.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,156.25
|
|
|
ANCHOR FAST
|
Facility
|
OP
|
$41.93
|
|
| Hospital Charge Code |
270648592
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.45 |
| Max. Negotiated Rate |
$20.96 |
| Rate for Payer: Aetna Commercial |
$12.58
|
| Rate for Payer: Aetna Medicare Advantage |
$12.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.69
|
| Rate for Payer: Cigna Commercial |
$20.96
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.45
|
| Rate for Payer: Oxford Commercial |
$20.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$20.96
|
|
|
ANCHOR FAST
|
Facility
|
IP
|
$41.93
|
|
| Hospital Charge Code |
270648592
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.29 |
| Max. Negotiated Rate |
$6.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.29
|
|
|
ANCHOR FIBERLINK
|
Facility
|
OP
|
$275.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270663965
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$82.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$55.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$66.55
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
ANCHOR FIBERLINK
|
Facility
|
IP
|
$275.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270663965
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$66.55 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$55.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$66.55
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
ANCHOR FIBERLOCK SUSPENSN SYS
|
Facility
|
OP
|
$8,641.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270698426
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,296.26 |
| Max. Negotiated Rate |
$4,320.88 |
| Rate for Payer: Aetna Commercial |
$2,592.53
|
| Rate for Payer: Aetna Medicare Advantage |
$2,592.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,203.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,203.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,728.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,203.65
|
| Rate for Payer: Cigna Commercial |
$4,320.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,091.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,296.26
|
|
|
ANCHOR FIBERLOCK SUSPENSN SYS
|
Facility
|
IP
|
$8,641.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270698426
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,296.26 |
| Max. Negotiated Rate |
$2,091.30 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,728.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,091.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,296.26
|
|
|
ANCHOR GBA SUTURE 6.5 AR-1925S
|
Facility
|
OP
|
$1,268.00
|
|
| Hospital Charge Code |
270612918
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$190.20 |
| Max. Negotiated Rate |
$634.00 |
| Rate for Payer: Aetna Commercial |
$380.40
|
| Rate for Payer: Aetna Medicare Advantage |
$380.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$323.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$323.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$323.34
|
| Rate for Payer: Cigna Commercial |
$634.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$306.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$190.20
|
|
|
ANCHOR GBA SUTURE 6.5 AR-1925S
|
Facility
|
IP
|
$1,268.00
|
|
| Hospital Charge Code |
270612918
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$190.20 |
| Max. Negotiated Rate |
$306.86 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$253.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$306.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$190.20
|
|
|
ANCHOR GII PLUS W/DUAL
|
Facility
|
OP
|
$2,205.00
|
|
| Hospital Charge Code |
270666930
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$330.75 |
| Max. Negotiated Rate |
$1,102.50 |
| Rate for Payer: Aetna Commercial |
$661.50
|
| Rate for Payer: Aetna Medicare Advantage |
$661.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$562.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$562.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$441.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$562.27
|
| Rate for Payer: Cigna Commercial |
$1,102.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$533.61
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$330.75
|
|
|
ANCHOR GII PLUS W/DUAL
|
Facility
|
IP
|
$2,205.00
|
|
| Hospital Charge Code |
270666930
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$330.75 |
| Max. Negotiated Rate |
$533.61 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$441.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$533.61
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$330.75
|
|
|
ANCHOR GRAVITY SUTURE
|
Facility
|
IP
|
$2,020.00
|
|
| Hospital Charge Code |
270684835
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$303.00 |
| Max. Negotiated Rate |
$303.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$303.00
|
|
|
ANCHOR GRAVITY SUTURE
|
Facility
|
OP
|
$2,020.00
|
|
| Hospital Charge Code |
270684835
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$262.60 |
| Max. Negotiated Rate |
$1,010.00 |
| Rate for Payer: Aetna Commercial |
$606.00
|
| Rate for Payer: Aetna Medicare Advantage |
$606.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$515.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$515.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$515.10
|
| Rate for Payer: Cigna Commercial |
$1,010.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$262.60
|
| Rate for Payer: Oxford Commercial |
$1,010.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$303.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,010.00
|
|
|
ANCHOR HEALICOIL RSB SA 4.75MM
|
Facility
|
OP
|
$3,875.00
|
|
| Hospital Charge Code |
270682200
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$503.75 |
| Max. Negotiated Rate |
$1,937.50 |
| Rate for Payer: Aetna Commercial |
$1,162.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,162.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$988.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$988.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$988.12
|
| Rate for Payer: Cigna Commercial |
$1,937.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$503.75
|
| Rate for Payer: Oxford Commercial |
$1,937.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$581.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,937.50
|
|
|
ANCHOR HEALICOIL RSB SA 4.75MM
|
Facility
|
IP
|
$3,875.00
|
|
| Hospital Charge Code |
270682200
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$581.25 |
| Max. Negotiated Rate |
$581.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$581.25
|
|
|
ANCHOR HEALIX AD
|
Facility
|
OP
|
$2,565.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270664474
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$384.75 |
| Max. Negotiated Rate |
$1,282.50 |
| Rate for Payer: Aetna Commercial |
$769.50
|
| Rate for Payer: Aetna Medicare Advantage |
$769.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$654.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$654.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$513.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$654.08
|
| Rate for Payer: Cigna Commercial |
$1,282.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$620.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$384.75
|
|
|
ANCHOR HEALIX AD
|
Facility
|
IP
|
$2,565.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270664474
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$384.75 |
| Max. Negotiated Rate |
$620.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$513.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$620.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$384.75
|
|
|
ANCHOR HEALIX ADV KNTLSS 5.5
|
Facility
|
OP
|
$2,565.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270667453
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$384.75 |
| Max. Negotiated Rate |
$1,282.50 |
| Rate for Payer: Aetna Commercial |
$769.50
|
| Rate for Payer: Aetna Medicare Advantage |
$769.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$654.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$654.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$513.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$654.08
|
| Rate for Payer: Cigna Commercial |
$1,282.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$620.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$384.75
|
|
|
ANCHOR HEALIX ADV KNTLSS 5.5
|
Facility
|
IP
|
$2,565.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270667453
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$384.75 |
| Max. Negotiated Rate |
$620.73 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$513.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$620.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$384.75
|
|
|
ANCHOR HEALIX BR ADVANCE 4.6
|
Facility
|
OP
|
$2,230.00
|
|
| Hospital Charge Code |
270663290
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$334.50 |
| Max. Negotiated Rate |
$1,115.00 |
| Rate for Payer: Aetna Commercial |
$669.00
|
| Rate for Payer: Aetna Medicare Advantage |
$669.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$568.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$568.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$446.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$568.65
|
| Rate for Payer: Cigna Commercial |
$1,115.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$539.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$334.50
|
|
|
ANCHOR HEALIX BR ADVANCE 4.6
|
Facility
|
IP
|
$2,230.00
|
|
| Hospital Charge Code |
270663290
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$334.50 |
| Max. Negotiated Rate |
$539.66 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$446.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$539.66
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$334.50
|
|
|
ANCHOR HEL BR 5.5 W/ORT 222233
|
Facility
|
IP
|
$1,750.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270641924
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$423.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
ANCHOR HEL BR 5.5 W/ORT 222233
|
Facility
|
OP
|
$1,750.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270641924
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| 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) NJ Health |
$350.00
|
| 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 |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|