|
KINGFISHER SUTURE RETRIEVER
|
Facility
|
IP
|
$7,475.00
|
|
| Hospital Charge Code |
270656523
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$1,121.25 |
| Max. Negotiated Rate |
$1,121.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,121.25
|
|
|
KIRBY BAUER
|
Facility
|
IP
|
$124.00
|
|
|
Service Code
|
HCPCS 87184
|
| Hospital Charge Code |
38475029
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$18.60 |
| Max. Negotiated Rate |
$18.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.60
|
|
|
KIRBY BAUER
|
Facility
|
OP
|
$124.00
|
|
|
Service Code
|
HCPCS 87184
|
| Hospital Charge Code |
38475029
|
|
Hospital Revenue Code
|
309
|
| Min. Negotiated Rate |
$3.74 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: Aetna Medicare Advantage |
$7.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$27.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$27.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$7.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$27.41
|
| Rate for Payer: Cigna Commercial |
$7.48
|
| Rate for Payer: Cigna Medicare Advantage |
$3.74
|
| Rate for Payer: Clover Medicare Advantage |
$7.11
|
| Rate for Payer: EmblemHealth Commercial |
$22.44
|
| Rate for Payer: Humana Medicare Advantage |
$7.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.12
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$7.48
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$7.93
|
| Rate for Payer: Wellcare Medicare Advantage |
$7.48
|
|
|
KIRSCHER WIRE 0.45
|
Facility
|
IP
|
$61.92
|
|
| Hospital Charge Code |
270656387
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.29 |
| Max. Negotiated Rate |
$9.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.29
|
|
|
KIRSCHER WIRE 0.45
|
Facility
|
OP
|
$61.92
|
|
| Hospital Charge Code |
270656387
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.05 |
| Max. Negotiated Rate |
$30.96 |
| Rate for Payer: Aetna Commercial |
$18.58
|
| Rate for Payer: Aetna Medicare Advantage |
$18.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.79
|
| Rate for Payer: Cigna Commercial |
$30.96
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.05
|
| Rate for Payer: Oxford Commercial |
$30.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$30.96
|
|
|
KIRSCHNER WIRE 0.35
|
Facility
|
IP
|
$71.50
|
|
| Hospital Charge Code |
270656388
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.72 |
| Max. Negotiated Rate |
$10.72 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.72
|
|
|
KIRSCHNER WIRE 0.35
|
Facility
|
OP
|
$71.50
|
|
| Hospital Charge Code |
270656388
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.29 |
| Max. Negotiated Rate |
$35.75 |
| Rate for Payer: Aetna Commercial |
$21.45
|
| Rate for Payer: Aetna Medicare Advantage |
$21.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.23
|
| Rate for Payer: Cigna Commercial |
$35.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.29
|
| Rate for Payer: Oxford Commercial |
$35.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.72
|
| Rate for Payer: UnitedHealthcare Commercial |
$35.75
|
|
|
KIRSCHNER WIRE 0.62
|
Facility
|
OP
|
$58.98
|
|
| Hospital Charge Code |
270656390
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.67 |
| Max. Negotiated Rate |
$29.49 |
| Rate for Payer: Aetna Commercial |
$17.69
|
| Rate for Payer: Aetna Medicare Advantage |
$17.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.04
|
| Rate for Payer: Cigna Commercial |
$29.49
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.67
|
| Rate for Payer: Oxford Commercial |
$29.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$29.49
|
|
|
KIRSCHNER WIRE 0.62
|
Facility
|
IP
|
$58.98
|
|
| Hospital Charge Code |
270656390
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.85 |
| Max. Negotiated Rate |
$8.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.85
|
|
|
KIRSCHNER WIRE 150MM
|
Facility
|
IP
|
$460.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270604432
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$69.09 |
| Max. Negotiated Rate |
$111.47 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$92.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.47
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.09
|
|
|
KIRSCHNER WIRE 150MM
|
Facility
|
OP
|
$460.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270604432
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$69.09 |
| Max. Negotiated Rate |
$230.30 |
| Rate for Payer: Aetna Commercial |
$138.18
|
| Rate for Payer: Aetna Medicare Advantage |
$138.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$117.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$117.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$92.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$117.45
|
| Rate for Payer: Cigna Commercial |
$230.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.47
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.09
|
|
|
KIRSCHNER WIRE STY 6 1.1x229mm
|
Facility
|
OP
|
$28.49
|
|
| Hospital Charge Code |
270650934
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.70 |
| Max. Negotiated Rate |
$14.24 |
| Rate for Payer: Aetna Commercial |
$8.55
|
| Rate for Payer: Aetna Medicare Advantage |
$8.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.26
|
| Rate for Payer: Cigna Commercial |
$14.24
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.70
|
| Rate for Payer: Oxford Commercial |
$14.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.27
|
| Rate for Payer: UnitedHealthcare Commercial |
$14.24
|
|
|
KIRSCHNER WIRE STY 6 1.1x229mm
|
Facility
|
IP
|
$28.49
|
|
| Hospital Charge Code |
270650934
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.27 |
| Max. Negotiated Rate |
$4.27 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.27
|
|
|
KIRSCHNER WIRE STY 6 1.6x229mm
|
Facility
|
IP
|
$36.51
|
|
| Hospital Charge Code |
270650935
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.48 |
| Max. Negotiated Rate |
$5.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.48
|
|
|
KIRSCHNER WIRE STY 6 1.6x229mm
|
Facility
|
OP
|
$36.51
|
|
| Hospital Charge Code |
270650935
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.75 |
| Max. Negotiated Rate |
$18.25 |
| Rate for Payer: Aetna Commercial |
$10.95
|
| Rate for Payer: Aetna Medicare Advantage |
$10.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.31
|
| Rate for Payer: Cigna Commercial |
$18.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.75
|
| Rate for Payer: Oxford Commercial |
$18.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.25
|
|
|
KIRSCH WIRE W/TROCAR TIP 2.5MM
|
Facility
|
OP
|
$165.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270688155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$49.50
|
| Rate for Payer: Aetna Medicare Advantage |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.08
|
| Rate for Payer: Cigna Commercial |
$82.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
|
|
KIRSCH WIRE W/TROCAR TIP 2.5MM
|
Facility
|
IP
|
$165.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270688155
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$39.93 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$33.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
|
|
KIRSHNER WIRES
|
Facility
|
OP
|
$145.00
|
|
| Hospital Charge Code |
270335000
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$21.75 |
| Max. Negotiated Rate |
$72.50 |
| Rate for Payer: Aetna Commercial |
$43.50
|
| Rate for Payer: Aetna Medicare Advantage |
$43.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$36.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$36.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$29.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$36.98
|
| Rate for Payer: Cigna Commercial |
$72.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.75
|
|
|
KIRSHNER WIRES
|
Facility
|
IP
|
$145.00
|
|
| Hospital Charge Code |
270335000
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$21.75 |
| Max. Negotiated Rate |
$35.09 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$29.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.75
|
|
|
KIT 11 CC CONFIDENCE
|
Facility
|
OP
|
$23,635.00
|
|
| Hospital Charge Code |
270688639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,072.55 |
| Max. Negotiated Rate |
$11,817.50 |
| Rate for Payer: Aetna Commercial |
$7,090.50
|
| Rate for Payer: Aetna Medicare Advantage |
$7,090.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,026.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,026.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,026.93
|
| Rate for Payer: Cigna Commercial |
$11,817.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,072.55
|
| Rate for Payer: Oxford Commercial |
$11,817.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,545.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$11,817.50
|
|
|
KIT 11 CC CONFIDENCE
|
Facility
|
IP
|
$23,635.00
|
|
| Hospital Charge Code |
270688639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3,545.25 |
| Max. Negotiated Rate |
$3,545.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,545.25
|
|
|
KIT 1.5MM DISPOSABLE
|
Facility
|
OP
|
$1,700.00
|
|
| Hospital Charge Code |
270649663
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$221.00 |
| Max. Negotiated Rate |
$850.00 |
| Rate for Payer: Aetna Commercial |
$510.00
|
| Rate for Payer: Aetna Medicare Advantage |
$510.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$433.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$433.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$433.50
|
| Rate for Payer: Cigna Commercial |
$850.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$221.00
|
| Rate for Payer: Oxford Commercial |
$850.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$255.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$850.00
|
|
|
KIT 1.5MM DISPOSABLE
|
Facility
|
IP
|
$1,700.00
|
|
| Hospital Charge Code |
270649663
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$255.00 |
| Max. Negotiated Rate |
$255.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$255.00
|
|
|
KIT,2MM GUIDE PIN ,SINGLE
|
Facility
|
OP
|
$585.00
|
|
| Hospital Charge Code |
270687345
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$76.05 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Aetna Commercial |
$175.50
|
| Rate for Payer: Aetna Medicare Advantage |
$175.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$149.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$149.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$149.18
|
| Rate for Payer: Cigna Commercial |
$292.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$76.05
|
| Rate for Payer: Oxford Commercial |
$292.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$87.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$292.50
|
|
|
KIT,2MM GUIDE PIN ,SINGLE
|
Facility
|
IP
|
$585.00
|
|
| Hospital Charge Code |
270687345
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.75 |
| Max. Negotiated Rate |
$87.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$87.75
|
|