|
KNIFE ALC CRESCENT 990001
|
Facility
|
IP
|
$287.25
|
|
| Hospital Charge Code |
270600189
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.09 |
| Max. Negotiated Rate |
$43.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.09
|
|
|
KNIFE ALC SLIT 2.75MM 992701
|
Facility
|
OP
|
$261.65
|
|
| Hospital Charge Code |
270600238
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.01 |
| Max. Negotiated Rate |
$130.82 |
| Rate for Payer: Aetna Commercial |
$78.50
|
| Rate for Payer: Aetna Medicare Advantage |
$78.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$66.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$66.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$66.72
|
| Rate for Payer: Cigna Commercial |
$130.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$34.01
|
| Rate for Payer: Oxford Commercial |
$130.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$130.82
|
|
|
KNIFE ALC SLIT 2.75MM 992701
|
Facility
|
IP
|
$261.65
|
|
| Hospital Charge Code |
270600238
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.25 |
| Max. Negotiated Rate |
$39.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.25
|
|
|
KNIFE ALC SLIT 3.2 MM 993261
|
Facility
|
OP
|
$256.00
|
|
| Hospital Charge Code |
270061009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.28 |
| Max. Negotiated Rate |
$128.00 |
| Rate for Payer: Aetna Commercial |
$76.80
|
| Rate for Payer: Aetna Medicare Advantage |
$76.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$65.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$65.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$65.28
|
| Rate for Payer: Cigna Commercial |
$128.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$33.28
|
| Rate for Payer: Oxford Commercial |
$128.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$38.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$128.00
|
|
|
KNIFE ALC SLIT 3.2 MM 993261
|
Facility
|
IP
|
$256.00
|
|
| Hospital Charge Code |
270061009
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$38.40 |
| Max. Negotiated Rate |
$38.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$38.40
|
|
|
KNIFE AMP LISTON 13 IN
|
Facility
|
IP
|
$776.65
|
|
| Hospital Charge Code |
270689511
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$116.50 |
| Max. Negotiated Rate |
$116.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$116.50
|
|
|
KNIFE AMP LISTON 13 IN
|
Facility
|
OP
|
$776.65
|
|
| Hospital Charge Code |
270689511
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$388.32 |
| Rate for Payer: Aetna Commercial |
$233.00
|
| Rate for Payer: Aetna Medicare Advantage |
$233.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$198.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$198.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$198.05
|
| Rate for Payer: Cigna Commercial |
$388.32
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$100.96
|
| Rate for Payer: Oxford Commercial |
$388.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$116.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$388.32
|
|
|
KNIFE ARTHRO 3MM 700071113***
|
Facility
|
IP
|
$209.00
|
|
| Hospital Charge Code |
1606144
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.35 |
| Max. Negotiated Rate |
$31.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$31.35
|
|
|
KNIFE ARTHRO 3MM 700071113***
|
Facility
|
OP
|
$209.00
|
|
| Hospital Charge Code |
1606144
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.17 |
| Max. Negotiated Rate |
$104.50 |
| Rate for Payer: Aetna Commercial |
$62.70
|
| Rate for Payer: Aetna Medicare Advantage |
$62.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$53.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$53.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$53.30
|
| Rate for Payer: Cigna Commercial |
$104.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$27.17
|
| Rate for Payer: Oxford Commercial |
$104.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$31.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$104.50
|
|
|
KNIFE ARTHRO BANANA LT 3MM****
|
Facility
|
OP
|
$209.00
|
|
| Hospital Charge Code |
1606201
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.17 |
| Max. Negotiated Rate |
$104.50 |
| Rate for Payer: Aetna Commercial |
$62.70
|
| Rate for Payer: Aetna Medicare Advantage |
$62.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$53.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$53.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$53.30
|
| Rate for Payer: Cigna Commercial |
$104.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$27.17
|
| Rate for Payer: Oxford Commercial |
$104.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$31.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$104.50
|
|
|
KNIFE ARTHRO BANANA LT 3MM****
|
Facility
|
IP
|
$209.00
|
|
| Hospital Charge Code |
1606201
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.35 |
| Max. Negotiated Rate |
$31.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$31.35
|
|
|
KNIFE ARTHROSCOPY SMALL JOINT
|
Facility
|
OP
|
$504.00
|
|
| Hospital Charge Code |
270335280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$65.52 |
| Max. Negotiated Rate |
$252.00 |
| Rate for Payer: Aetna Commercial |
$151.20
|
| Rate for Payer: Aetna Medicare Advantage |
$151.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$128.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$128.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$128.52
|
| Rate for Payer: Cigna Commercial |
$252.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$65.52
|
| Rate for Payer: Oxford Commercial |
$252.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$252.00
|
|
|
KNIFE ARTHROSCOPY SMALL JOINT
|
Facility
|
IP
|
$504.00
|
|
| Hospital Charge Code |
270335280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$75.60 |
| Max. Negotiated Rate |
$75.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.60
|
|
|
KNIFE BLADE SPECIAL 66-60 STER
|
Facility
|
OP
|
$957.80
|
|
| Hospital Charge Code |
270655874
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$124.51 |
| Max. Negotiated Rate |
$478.90 |
| Rate for Payer: Aetna Commercial |
$287.34
|
| Rate for Payer: Aetna Medicare Advantage |
$287.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$244.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$244.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$244.24
|
| Rate for Payer: Cigna Commercial |
$478.90
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$124.51
|
| Rate for Payer: Oxford Commercial |
$478.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$143.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$478.90
|
|
|
KNIFE BLADE SPECIAL 66-60 STER
|
Facility
|
IP
|
$957.80
|
|
| Hospital Charge Code |
270655874
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$143.67 |
| Max. Negotiated Rate |
$143.67 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$143.67
|
|
|
KNIFE BZ STAINLESS STEEL DOM
|
Facility
|
IP
|
$3.13
|
|
| Hospital Charge Code |
270602949
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.47 |
| Max. Negotiated Rate |
$0.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.47
|
|
|
KNIFE BZ STAINLESS STEEL DOM
|
Facility
|
OP
|
$3.13
|
|
| Hospital Charge Code |
270602949
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.41 |
| Max. Negotiated Rate |
$1.56 |
| Rate for Payer: Aetna Commercial |
$0.94
|
| Rate for Payer: Aetna Medicare Advantage |
$0.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.80
|
| Rate for Payer: Cigna Commercial |
$1.56
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.41
|
| Rate for Payer: Oxford Commercial |
$1.56
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.56
|
|
|
KNIFE CARPAL TUNNEL 1 PIECE
|
Facility
|
IP
|
$1,018.50
|
|
| Hospital Charge Code |
270669884
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$152.78 |
| Max. Negotiated Rate |
$152.78 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$152.78
|
|
|
KNIFE CARPAL TUNNEL 1 PIECE
|
Facility
|
OP
|
$1,018.50
|
|
| Hospital Charge Code |
270669884
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$132.41 |
| Max. Negotiated Rate |
$509.25 |
| Rate for Payer: Aetna Commercial |
$305.55
|
| Rate for Payer: Aetna Medicare Advantage |
$305.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$259.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$259.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$259.72
|
| Rate for Payer: Cigna Commercial |
$509.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$132.41
|
| Rate for Payer: Oxford Commercial |
$509.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$152.78
|
| Rate for Payer: UnitedHealthcare Commercial |
$509.25
|
|
|
KNIFE CK HUIBREGT 5.0FR HPC-2
|
Facility
|
IP
|
$872.00
|
|
| Hospital Charge Code |
270600976
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$130.80 |
| Max. Negotiated Rate |
$130.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$130.80
|
|
|
KNIFE CK HUIBREGT 5.0FR HPC-2
|
Facility
|
OP
|
$872.00
|
|
| Hospital Charge Code |
270600976
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$113.36 |
| Max. Negotiated Rate |
$436.00 |
| Rate for Payer: Aetna Commercial |
$261.60
|
| Rate for Payer: Aetna Medicare Advantage |
$261.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$222.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$222.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$222.36
|
| Rate for Payer: Cigna Commercial |
$436.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$113.36
|
| Rate for Payer: Oxford Commercial |
$436.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$130.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$436.00
|
|
|
KNIFE COLD ADULT
|
Facility
|
IP
|
$546.67
|
|
| Hospital Charge Code |
270658543
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$82.00 |
| Max. Negotiated Rate |
$82.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.00
|
|
|
KNIFE COLD ADULT
|
Facility
|
OP
|
$546.67
|
|
| Hospital Charge Code |
270658543
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$71.07 |
| Max. Negotiated Rate |
$273.33 |
| Rate for Payer: Aetna Commercial |
$164.00
|
| Rate for Payer: Aetna Medicare Advantage |
$164.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$139.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$139.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$139.40
|
| Rate for Payer: Cigna Commercial |
$273.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$71.07
|
| Rate for Payer: Oxford Commercial |
$273.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$273.33
|
|
|
KNIFE HANDLES BEAVER
|
Facility
|
OP
|
$24.70
|
|
| Hospital Charge Code |
270665158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.21 |
| Max. Negotiated Rate |
$12.35 |
| Rate for Payer: Aetna Commercial |
$7.41
|
| Rate for Payer: Aetna Medicare Advantage |
$7.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.30
|
| Rate for Payer: Cigna Commercial |
$12.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.21
|
| Rate for Payer: Oxford Commercial |
$12.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.71
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.35
|
|
|
KNIFE HANDLES BEAVER
|
Facility
|
IP
|
$24.70
|
|
| Hospital Charge Code |
270665158
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.71 |
| Max. Negotiated Rate |
$3.71 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.71
|
|