|
KNIFE SACHSE COLD STR
|
Facility
|
IP
|
$811.97
|
|
| Hospital Charge Code |
270644707
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.80 |
| Max. Negotiated Rate |
$121.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$121.80
|
|
|
KNIFE SATIN CRESCENT ANGL
|
Facility
|
IP
|
$669.90
|
|
| Hospital Charge Code |
270655245
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$100.48 |
| Max. Negotiated Rate |
$100.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.48
|
|
|
KNIFE SATIN CRESCENT ANGL
|
Facility
|
OP
|
$669.90
|
|
| Hospital Charge Code |
270655245
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.09 |
| Max. Negotiated Rate |
$334.95 |
| Rate for Payer: Aetna Commercial |
$200.97
|
| Rate for Payer: Aetna Medicare Advantage |
$200.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$170.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$170.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$170.82
|
| Rate for Payer: Cigna Commercial |
$334.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.09
|
| Rate for Payer: Oxford Commercial |
$334.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$334.95
|
|
|
KNIFE SLIT ANGD 2.7 8065992745
|
Facility
|
OP
|
$126.50
|
|
| Hospital Charge Code |
270618533
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.45 |
| Max. Negotiated Rate |
$63.25 |
| Rate for Payer: Aetna Commercial |
$37.95
|
| Rate for Payer: Aetna Medicare Advantage |
$37.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.26
|
| Rate for Payer: Cigna Commercial |
$63.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.45
|
| Rate for Payer: Oxford Commercial |
$63.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.98
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.25
|
|
|
KNIFE SLIT ANGD 2.7 8065992745
|
Facility
|
IP
|
$126.50
|
|
| Hospital Charge Code |
270618533
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.98 |
| Max. Negotiated Rate |
$18.98 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.98
|
|
|
KNIFE SLIT OPTH 3.2MM 993261
|
Facility
|
OP
|
$604.20
|
|
| Hospital Charge Code |
270626715
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.55 |
| Max. Negotiated Rate |
$302.10 |
| Rate for Payer: Aetna Commercial |
$181.26
|
| Rate for Payer: Aetna Medicare Advantage |
$181.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$154.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$154.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$154.07
|
| Rate for Payer: Cigna Commercial |
$302.10
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$78.55
|
| Rate for Payer: Oxford Commercial |
$302.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$90.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$302.10
|
|
|
KNIFE SLIT OPTH 3.2MM 993261
|
Facility
|
IP
|
$604.20
|
|
| Hospital Charge Code |
270626715
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$90.63 |
| Max. Negotiated Rate |
$90.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$90.63
|
|
|
KNIFE STKR MENISCUS ANGLED****
|
Facility
|
OP
|
$177.00
|
|
| Hospital Charge Code |
1606466
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.01 |
| Max. Negotiated Rate |
$88.50 |
| Rate for Payer: Aetna Commercial |
$53.10
|
| Rate for Payer: Aetna Medicare Advantage |
$53.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$45.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$45.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$45.13
|
| Rate for Payer: Cigna Commercial |
$88.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$23.01
|
| Rate for Payer: Oxford Commercial |
$88.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.55
|
| Rate for Payer: UnitedHealthcare Commercial |
$88.50
|
|
|
KNIFE STKR MENISCUS ANGLED****
|
Facility
|
IP
|
$177.00
|
|
| Hospital Charge Code |
1606466
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.55 |
| Max. Negotiated Rate |
$26.55 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.55
|
|
|
KNIFE STORZ COLD
|
Facility
|
OP
|
$556.00
|
|
| Hospital Charge Code |
270335143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$72.28 |
| Max. Negotiated Rate |
$278.00 |
| Rate for Payer: Aetna Commercial |
$166.80
|
| Rate for Payer: Aetna Medicare Advantage |
$166.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$141.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$141.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$141.78
|
| Rate for Payer: Cigna Commercial |
$278.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$72.28
|
| Rate for Payer: Oxford Commercial |
$278.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$83.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$278.00
|
|
|
KNIFE STORZ COLD
|
Facility
|
IP
|
$556.00
|
|
| Hospital Charge Code |
270335143
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$83.40 |
| Max. Negotiated Rate |
$83.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$83.40
|
|
|
KNIFE STRAIGHT COLD
|
Facility
|
IP
|
$921.00
|
|
| Hospital Charge Code |
270335281
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$138.15 |
| Max. Negotiated Rate |
$138.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$138.15
|
|
|
KNIFE STRAIGHT COLD
|
Facility
|
OP
|
$921.00
|
|
| Hospital Charge Code |
270335281
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$119.73 |
| Max. Negotiated Rate |
$460.50 |
| Rate for Payer: Aetna Commercial |
$276.30
|
| Rate for Payer: Aetna Medicare Advantage |
$276.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$234.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$234.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$234.85
|
| Rate for Payer: Cigna Commercial |
$460.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$119.73
|
| Rate for Payer: Oxford Commercial |
$460.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$138.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$460.50
|
|
|
KNIFE W/BD XSTAR BLADE
|
Facility
|
IP
|
$71.96
|
|
| Hospital Charge Code |
270652260
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.79 |
| Max. Negotiated Rate |
$10.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.79
|
|
|
KNIFE W/BD XSTAR BLADE
|
Facility
|
OP
|
$71.96
|
|
| Hospital Charge Code |
270652260
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.35 |
| Max. Negotiated Rate |
$35.98 |
| Rate for Payer: Aetna Commercial |
$21.59
|
| Rate for Payer: Aetna Medicare Advantage |
$21.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.35
|
| Rate for Payer: Cigna Commercial |
$35.98
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.35
|
| Rate for Payer: Oxford Commercial |
$35.98
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$35.98
|
|
|
KNIFE W/XSTAR BLADE
|
Facility
|
OP
|
$97.40
|
|
| Hospital Charge Code |
270652263
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.66 |
| Max. Negotiated Rate |
$48.70 |
| Rate for Payer: Aetna Commercial |
$29.22
|
| Rate for Payer: Aetna Medicare Advantage |
$29.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$24.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$24.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$24.84
|
| Rate for Payer: Cigna Commercial |
$48.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.66
|
| Rate for Payer: Oxford Commercial |
$48.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.61
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.70
|
|
|
KNIFE W/XSTAR BLADE
|
Facility
|
IP
|
$97.40
|
|
| Hospital Charge Code |
270652263
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.61 |
| Max. Negotiated Rate |
$14.61 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.61
|
|
|
KNIVES
|
Facility
|
OP
|
$1,011.00
|
|
| Hospital Charge Code |
270668391
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$131.43 |
| Max. Negotiated Rate |
$505.50 |
| Rate for Payer: Aetna Commercial |
$303.30
|
| Rate for Payer: Aetna Medicare Advantage |
$303.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$257.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$257.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$257.81
|
| Rate for Payer: Cigna Commercial |
$505.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$131.43
|
| Rate for Payer: Oxford Commercial |
$505.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$151.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$505.50
|
|
|
KNIVES
|
Facility
|
IP
|
$1,011.00
|
|
| Hospital Charge Code |
270668391
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$151.65 |
| Max. Negotiated Rate |
$151.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$151.65
|
|
|
KNOB BMT PULLER 31472005
|
Facility
|
IP
|
$1,073.65
|
|
| Hospital Charge Code |
270612164
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$161.05 |
| Max. Negotiated Rate |
$161.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$161.05
|
|
|
KNOB BMT PULLER 31472005
|
Facility
|
OP
|
$1,073.65
|
|
| Hospital Charge Code |
270612164
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$139.57 |
| Max. Negotiated Rate |
$536.83 |
| Rate for Payer: Aetna Commercial |
$322.10
|
| Rate for Payer: Aetna Medicare Advantage |
$322.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$273.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$273.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$273.78
|
| Rate for Payer: Cigna Commercial |
$536.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$139.57
|
| Rate for Payer: Oxford Commercial |
$536.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$161.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$536.83
|
|
|
KNOTLESS ANCHOR 4.5 PEEK AND B
|
Facility
|
IP
|
$4,936.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270701670
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$740.44 |
| Max. Negotiated Rate |
$1,194.57 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$987.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,194.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$740.44
|
|
|
KNOTLESS ANCHOR 4.5 PEEK AND B
|
Facility
|
OP
|
$4,936.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270701670
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$740.44 |
| Max. Negotiated Rate |
$2,468.12 |
| Rate for Payer: Aetna Commercial |
$1,480.88
|
| Rate for Payer: Aetna Medicare Advantage |
$1,480.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,258.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,258.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$987.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,258.74
|
| Rate for Payer: Cigna Commercial |
$2,468.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,194.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$740.44
|
|
|
KNOTLESS FIBERTAK 2.6MM
|
Facility
|
IP
|
$2,549.25
|
|
|
Service Code
|
HCPCS C1765
|
| Hospital Charge Code |
270705065
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$382.39 |
| Max. Negotiated Rate |
$616.92 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$509.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$616.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$382.39
|
|
|
KNOTLESS FIBERTAK 2.6MM
|
Facility
|
OP
|
$2,549.25
|
|
|
Service Code
|
HCPCS C1765
|
| Hospital Charge Code |
270705065
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$382.39 |
| Max. Negotiated Rate |
$1,274.62 |
| Rate for Payer: Aetna Commercial |
$764.77
|
| Rate for Payer: Aetna Medicare Advantage |
$764.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$650.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$650.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$509.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$650.06
|
| Rate for Payer: Cigna Commercial |
$1,274.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$616.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$382.39
|
|