|
K-WIRE 1.1x150MM
|
Facility
|
OP
|
$115.00
|
|
| Hospital Charge Code |
270662460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.95 |
| Max. Negotiated Rate |
$57.50 |
| Rate for Payer: Aetna Commercial |
$34.50
|
| Rate for Payer: Aetna Medicare Advantage |
$34.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$29.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$29.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$29.32
|
| Rate for Payer: Cigna Commercial |
$57.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.95
|
| Rate for Payer: Oxford Commercial |
$57.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$17.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$57.50
|
|
|
K-WIRE 1.1x150MM
|
Facility
|
IP
|
$115.00
|
|
| Hospital Charge Code |
270662460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.25 |
| Max. Negotiated Rate |
$17.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$17.25
|
|
|
KWIRE 1.1X150MM
|
Facility
|
IP
|
$942.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270692674
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$141.38 |
| Max. Negotiated Rate |
$228.09 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$188.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$228.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$141.38
|
|
|
KWIRE 1.1X150MM
|
Facility
|
OP
|
$942.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270692674
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$141.38 |
| Max. Negotiated Rate |
$471.25 |
| Rate for Payer: Aetna Commercial |
$282.75
|
| Rate for Payer: Aetna Medicare Advantage |
$282.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$240.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$240.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$188.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$240.34
|
| Rate for Payer: Cigna Commercial |
$471.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$228.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$141.38
|
|
|
K-WIRE 1.1X150MM TROCAR TIP
|
Facility
|
OP
|
$942.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270692845
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$141.38 |
| Max. Negotiated Rate |
$471.25 |
| Rate for Payer: Aetna Commercial |
$282.75
|
| Rate for Payer: Aetna Medicare Advantage |
$282.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$240.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$240.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$188.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$240.34
|
| Rate for Payer: Cigna Commercial |
$471.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$228.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$141.38
|
|
|
K-WIRE 1.1X150MM TROCAR TIP
|
Facility
|
IP
|
$942.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270692845
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$141.38 |
| Max. Negotiated Rate |
$228.09 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$188.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$228.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$141.38
|
|
|
KWIRE 1.1 X 229MM (9 INCH)
|
Facility
|
IP
|
$196.90
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687076
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$29.54 |
| Max. Negotiated Rate |
$47.65 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$39.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$47.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.54
|
|
|
KWIRE 1.1 X 229MM (9 INCH)
|
Facility
|
OP
|
$196.90
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687076
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$29.54 |
| Max. Negotiated Rate |
$98.45 |
| Rate for Payer: Aetna Commercial |
$59.07
|
| Rate for Payer: Aetna Medicare Advantage |
$59.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$50.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$50.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$39.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$50.21
|
| Rate for Payer: Cigna Commercial |
$98.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$47.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.54
|
|
|
K-WIRE 1.25
|
Facility
|
OP
|
$7,020.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270691910
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,053.00 |
| Max. Negotiated Rate |
$3,510.00 |
| Rate for Payer: Aetna Commercial |
$2,106.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,106.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,790.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,790.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,404.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,790.10
|
| Rate for Payer: Cigna Commercial |
$3,510.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,698.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,053.00
|
|
|
K-WIRE 1.25
|
Facility
|
IP
|
$7,020.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270691910
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,053.00 |
| Max. Negotiated Rate |
$1,698.84 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,404.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,698.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,053.00
|
|
|
K WIRE 1.25 MM
|
Facility
|
OP
|
$390.10
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270689731
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$58.52 |
| Max. Negotiated Rate |
$195.05 |
| Rate for Payer: Aetna Commercial |
$117.03
|
| Rate for Payer: Aetna Medicare Advantage |
$117.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$99.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$99.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$78.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$99.48
|
| Rate for Payer: Cigna Commercial |
$195.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$94.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.52
|
|
|
K WIRE 1.25 MM
|
Facility
|
IP
|
$390.10
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270689731
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$58.52 |
| Max. Negotiated Rate |
$94.40 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$78.02
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$94.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.52
|
|
|
K-WIRE 1.25 MM
|
Facility
|
OP
|
$937.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270665342
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$140.60 |
| Max. Negotiated Rate |
$468.68 |
| Rate for Payer: Aetna Commercial |
$281.20
|
| Rate for Payer: Aetna Medicare Advantage |
$281.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$239.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$239.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$187.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$239.02
|
| Rate for Payer: Cigna Commercial |
$468.68
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$226.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$140.60
|
|
|
K-WIRE 1.25 MM
|
Facility
|
IP
|
$937.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270665342
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$140.60 |
| Max. Negotiated Rate |
$226.84 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$187.47
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$226.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$140.60
|
|
|
K-WIRE 1.25MM/150MM
|
Facility
|
OP
|
$435.70
|
|
| Hospital Charge Code |
270603555
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$65.36 |
| Max. Negotiated Rate |
$217.85 |
| Rate for Payer: Aetna Commercial |
$130.71
|
| Rate for Payer: Aetna Medicare Advantage |
$130.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$111.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$111.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$87.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$111.10
|
| Rate for Payer: Cigna Commercial |
$217.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$105.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.36
|
|
|
K-WIRE 1.25MM/150MM
|
Facility
|
IP
|
$435.70
|
|
| Hospital Charge Code |
270603555
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$65.36 |
| Max. Negotiated Rate |
$105.44 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$87.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$105.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$65.36
|
|
|
KWIRE 1.25X150MM
|
Facility
|
OP
|
$100.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270694737
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$50.00 |
| Rate for Payer: Aetna Commercial |
$30.00
|
| Rate for Payer: Aetna Medicare Advantage |
$30.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$20.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$25.50
|
| Rate for Payer: Cigna Commercial |
$50.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.00
|
|
|
KWIRE 1.25X150MM
|
Facility
|
IP
|
$100.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270694737
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$24.20 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$20.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.00
|
|
|
K-WIRE 1.2x150MM
|
Facility
|
OP
|
$100.00
|
|
| Hospital Charge Code |
270656774
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$50.00 |
| Rate for Payer: Aetna Commercial |
$30.00
|
| Rate for Payer: Aetna Medicare Advantage |
$30.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$25.50
|
| Rate for Payer: Cigna Commercial |
$50.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.00
|
| Rate for Payer: Oxford Commercial |
$50.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$50.00
|
|
|
K-WIRE 1.2x150MM
|
Facility
|
IP
|
$100.00
|
|
| Hospital Charge Code |
270656774
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.00
|
|
|
K WIRE 1.2 X 150 MM
|
Facility
|
OP
|
$210.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270690338
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$31.50 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Aetna Commercial |
$63.00
|
| Rate for Payer: Aetna Medicare Advantage |
$63.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$53.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$53.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$42.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$53.55
|
| Rate for Payer: Cigna Commercial |
$105.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$31.50
|
|
|
K WIRE 1.2 X 150 MM
|
Facility
|
IP
|
$210.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270690338
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$31.50 |
| Max. Negotiated Rate |
$50.82 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$42.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$31.50
|
|
|
K-WIRE 1.2 X 150MM
|
Facility
|
IP
|
$151.20
|
|
| Hospital Charge Code |
270667926
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.68 |
| Max. Negotiated Rate |
$22.68 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.68
|
|
|
K-WIRE 1.2 X 150MM
|
Facility
|
OP
|
$151.20
|
|
| Hospital Charge Code |
270667926
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.66 |
| Max. Negotiated Rate |
$75.60 |
| Rate for Payer: Aetna Commercial |
$45.36
|
| Rate for Payer: Aetna Medicare Advantage |
$45.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$38.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$38.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$38.56
|
| Rate for Payer: Cigna Commercial |
$75.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.66
|
| Rate for Payer: Oxford Commercial |
$75.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.60
|
|
|
KWIRE 1.2X 150 MM SS
|
Facility
|
IP
|
$65.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270688785
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9.80 |
| Max. Negotiated Rate |
$15.81 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$13.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.81
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.80
|
|