|
ANGIOCATH 18G 1 1/4 IN
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270041004
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 18G 2
|
Facility
|
IP
|
$13.65
|
|
| Hospital Charge Code |
270041010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.05 |
| Max. Negotiated Rate |
$2.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
|
|
ANGIOCATH 18G 2
|
Facility
|
OP
|
$13.65
|
|
| Hospital Charge Code |
270041010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.77 |
| Max. Negotiated Rate |
$6.83 |
| Rate for Payer: Aetna Commercial |
$4.09
|
| Rate for Payer: Aetna Medicare Advantage |
$4.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.48
|
| Rate for Payer: Cigna Commercial |
$6.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.77
|
| Rate for Payer: Oxford Commercial |
$6.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.83
|
|
|
ANGIOCATH 20G 1 1/4 IN
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270041003
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 20G 1 1/4 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041003
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.15 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$7.26
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.15
|
| Rate for Payer: Oxford Commercial |
$12.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.11
|
|
|
ANGIOCATH 20G 1 PINK
|
Facility
|
IP
|
$429.23
|
|
| Hospital Charge Code |
270649793
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.38 |
| Max. Negotiated Rate |
$64.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.38
|
|
|
ANGIOCATH 20G 1 PINK
|
Facility
|
OP
|
$429.23
|
|
| Hospital Charge Code |
270649793
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.80 |
| Max. Negotiated Rate |
$214.62 |
| Rate for Payer: Aetna Commercial |
$128.77
|
| Rate for Payer: Aetna Medicare Advantage |
$128.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.45
|
| Rate for Payer: Cigna Commercial |
$214.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.80
|
| Rate for Payer: Oxford Commercial |
$214.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$214.62
|
|
|
ANGIOCATH 20G 2
|
Facility
|
OP
|
$13.65
|
|
| Hospital Charge Code |
270041015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.77 |
| Max. Negotiated Rate |
$6.83 |
| Rate for Payer: Aetna Commercial |
$4.09
|
| Rate for Payer: Aetna Medicare Advantage |
$4.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.48
|
| Rate for Payer: Cigna Commercial |
$6.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.77
|
| Rate for Payer: Oxford Commercial |
$6.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.83
|
|
|
ANGIOCATH 20G 2
|
Facility
|
IP
|
$13.65
|
|
| Hospital Charge Code |
270041015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.05 |
| Max. Negotiated Rate |
$2.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
OP
|
$382.80
|
|
| Hospital Charge Code |
270649792
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.76 |
| Max. Negotiated Rate |
$191.40 |
| Rate for Payer: Aetna Commercial |
$114.84
|
| Rate for Payer: Aetna Medicare Advantage |
$114.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.61
|
| Rate for Payer: Cigna Commercial |
$191.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$49.76
|
| Rate for Payer: Oxford Commercial |
$191.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$191.40
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
OP
|
$11.00
|
|
| Hospital Charge Code |
270330905
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.43 |
| Max. Negotiated Rate |
$5.50 |
| Rate for Payer: Aetna Commercial |
$3.30
|
| Rate for Payer: Aetna Medicare Advantage |
$3.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.81
|
| Rate for Payer: Cigna Commercial |
$5.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.43
|
| Rate for Payer: Oxford Commercial |
$5.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.50
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
IP
|
$11.00
|
|
| Hospital Charge Code |
270330905
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.65 |
| Max. Negotiated Rate |
$1.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.65
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
IP
|
$382.80
|
|
| Hospital Charge Code |
270649792
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.42 |
| Max. Negotiated Rate |
$57.42 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.42
|
|
|
ANGIOCATH 22G 1 IN
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270041002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 22G 1 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.15 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$7.26
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.15
|
| Rate for Payer: Oxford Commercial |
$12.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.11
|
|
|
ANGIOCATH 24G 1/2
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270627355
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.15 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$7.26
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.15
|
| Rate for Payer: Oxford Commercial |
$12.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.11
|
|
|
ANGIOCATH 24G 1/2
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270627355
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 24G 3/4 IN
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270041001
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 24G 3/4 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041001
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.15 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$7.26
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.15
|
| Rate for Payer: Oxford Commercial |
$12.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.11
|
|
|
ANGIOCATH 24G 3/4 YELLOW W/SYR
|
Facility
|
OP
|
$382.80
|
|
| Hospital Charge Code |
270649791
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.76 |
| Max. Negotiated Rate |
$191.40 |
| Rate for Payer: Aetna Commercial |
$114.84
|
| Rate for Payer: Aetna Medicare Advantage |
$114.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.61
|
| Rate for Payer: Cigna Commercial |
$191.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$49.76
|
| Rate for Payer: Oxford Commercial |
$191.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$191.40
|
|
|
ANGIOCATH 24G 3/4 YELLOW W/SYR
|
Facility
|
IP
|
$382.80
|
|
| Hospital Charge Code |
270649791
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.42 |
| Max. Negotiated Rate |
$57.42 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.42
|
|
|
ANGIOCATH ACUVANCE 14GX2 3358
|
Facility
|
OP
|
$11.25
|
|
| Hospital Charge Code |
270621011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.46 |
| Max. Negotiated Rate |
$5.62 |
| Rate for Payer: Aetna Commercial |
$3.38
|
| Rate for Payer: Aetna Medicare Advantage |
$3.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.87
|
| Rate for Payer: Cigna Commercial |
$5.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.46
|
| Rate for Payer: Oxford Commercial |
$5.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.62
|
|
|
ANGIOCATH ACUVANCE 14GX2 3358
|
Facility
|
IP
|
$11.25
|
|
| Hospital Charge Code |
270621011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$1.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
|
|
ANGIOCATH ACUVANCE 16GX2 3352
|
Facility
|
OP
|
$11.25
|
|
| Hospital Charge Code |
270621007
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.46 |
| Max. Negotiated Rate |
$5.62 |
| Rate for Payer: Aetna Commercial |
$3.38
|
| Rate for Payer: Aetna Medicare Advantage |
$3.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.87
|
| Rate for Payer: Cigna Commercial |
$5.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.46
|
| Rate for Payer: Oxford Commercial |
$5.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.62
|
|
|
ANGIOCATH ACUVANCE 16GX2 3352
|
Facility
|
IP
|
$11.25
|
|
| Hospital Charge Code |
270621007
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$1.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
|