|
MARKER PETITE NON-STERILE SKIN
|
Facility
|
IP
|
$144.00
|
|
| Hospital Charge Code |
270655642
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$21.60 |
| Max. Negotiated Rate |
$21.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.60
|
|
|
MARKER PETITE NON-STERILE SKIN
|
Facility
|
OP
|
$144.00
|
|
| Hospital Charge Code |
270655642
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$18.72 |
| Max. Negotiated Rate |
$72.00 |
| Rate for Payer: Aetna Commercial |
$43.20
|
| Rate for Payer: Aetna Medicare Advantage |
$43.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$36.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$36.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$36.72
|
| Rate for Payer: Cigna Commercial |
$72.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.72
|
| Rate for Payer: Oxford Commercial |
$72.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$72.00
|
|
|
MARKER PRE-OP SAFE ZONE
|
Facility
|
IP
|
$140.83
|
|
| Hospital Charge Code |
270649444
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$21.12 |
| Max. Negotiated Rate |
$21.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.12
|
|
|
MARKER PRE-OP SAFE ZONE
|
Facility
|
OP
|
$140.83
|
|
| Hospital Charge Code |
270649444
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$18.31 |
| Max. Negotiated Rate |
$70.42 |
| Rate for Payer: Aetna Commercial |
$42.25
|
| Rate for Payer: Aetna Medicare Advantage |
$42.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.91
|
| Rate for Payer: Cigna Commercial |
$70.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.31
|
| Rate for Payer: Oxford Commercial |
$70.42
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$21.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$70.42
|
|
|
MARKER SECURE MARK BX SITE
|
Facility
|
IP
|
$4,037.50
|
|
| Hospital Charge Code |
270664833
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$605.62 |
| Max. Negotiated Rate |
$605.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$605.62
|
|
|
MARKER SECURE MARK BX SITE
|
Facility
|
OP
|
$4,037.50
|
|
| Hospital Charge Code |
270664833
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$524.88 |
| Max. Negotiated Rate |
$2,018.75 |
| Rate for Payer: Aetna Commercial |
$1,211.25
|
| Rate for Payer: Aetna Medicare Advantage |
$1,211.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,029.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,029.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,029.56
|
| Rate for Payer: Cigna Commercial |
$2,018.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$524.88
|
| Rate for Payer: Oxford Commercial |
$2,018.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$605.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,018.75
|
|
|
MARKER SITE ID 2ND SHAPE
|
Facility
|
IP
|
$403.75
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270644703
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$60.56 |
| Max. Negotiated Rate |
$97.71 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$80.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$97.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$60.56
|
|
|
MARKER SITE ID 2ND SHAPE
|
Facility
|
OP
|
$403.75
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270644703
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$60.56 |
| Max. Negotiated Rate |
$201.88 |
| Rate for Payer: Aetna Commercial |
$121.12
|
| Rate for Payer: Aetna Medicare Advantage |
$121.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$102.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$102.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$80.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$102.96
|
| Rate for Payer: Cigna Commercial |
$201.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$97.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$60.56
|
|
|
MARKER SITE ID EVIVA 1ST SHAPE
|
Facility
|
IP
|
$410.00
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270642616
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$61.50 |
| Max. Negotiated Rate |
$99.22 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$82.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.50
|
|
|
MARKER SITE ID EVIVA 1ST SHAPE
|
Facility
|
OP
|
$410.00
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270642616
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$61.50 |
| Max. Negotiated Rate |
$205.00 |
| Rate for Payer: Aetna Commercial |
$123.00
|
| Rate for Payer: Aetna Medicare Advantage |
$123.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$104.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$104.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$82.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$104.55
|
| Rate for Payer: Cigna Commercial |
$205.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.50
|
|
|
MARKER SKIN
|
Facility
|
IP
|
$596.25
|
|
| Hospital Charge Code |
270655643
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$89.44 |
| Max. Negotiated Rate |
$89.44 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$89.44
|
|
|
MARKER SKIN
|
Facility
|
OP
|
$596.25
|
|
| Hospital Charge Code |
270655643
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$77.51 |
| Max. Negotiated Rate |
$298.12 |
| Rate for Payer: Aetna Commercial |
$178.88
|
| Rate for Payer: Aetna Medicare Advantage |
$178.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$152.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$152.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$152.04
|
| Rate for Payer: Cigna Commercial |
$298.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$77.51
|
| Rate for Payer: Oxford Commercial |
$298.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$89.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$298.12
|
|
|
MARKERS MINI SKIN
|
Facility
|
IP
|
$711.45
|
|
| Hospital Charge Code |
270663902
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$106.72 |
| Max. Negotiated Rate |
$106.72 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$106.72
|
|
|
MARKERS MINI SKIN
|
Facility
|
OP
|
$711.45
|
|
| Hospital Charge Code |
270663902
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$92.49 |
| Max. Negotiated Rate |
$355.73 |
| Rate for Payer: Aetna Commercial |
$213.44
|
| Rate for Payer: Aetna Medicare Advantage |
$213.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$181.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$181.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$181.42
|
| Rate for Payer: Cigna Commercial |
$355.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$92.49
|
| Rate for Payer: Oxford Commercial |
$355.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$106.72
|
| Rate for Payer: UnitedHealthcare Commercial |
$355.73
|
|
|
MARKER SURGICAL SKIN
|
Facility
|
IP
|
$2.49
|
|
| Hospital Charge Code |
270649445
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$0.37 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.37
|
|
|
MARKER SURGICAL SKIN
|
Facility
|
OP
|
$2.49
|
|
| Hospital Charge Code |
270649445
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$1.25 |
| Rate for Payer: Aetna Commercial |
$0.75
|
| Rate for Payer: Aetna Medicare Advantage |
$0.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.63
|
| Rate for Payer: Cigna Commercial |
$1.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.32
|
| Rate for Payer: Oxford Commercial |
$1.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.37
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.25
|
|
|
MARKER SURVELLANCE PERC PIN
|
Facility
|
IP
|
$2,250.00
|
|
| Hospital Charge Code |
270696764
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$337.50 |
| Max. Negotiated Rate |
$337.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
|
|
MARKER SURVELLANCE PERC PIN
|
Facility
|
OP
|
$2,250.00
|
|
| Hospital Charge Code |
270696764
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$292.50 |
| Max. Negotiated Rate |
$1,125.00 |
| Rate for Payer: Aetna Commercial |
$675.00
|
| Rate for Payer: Aetna Medicare Advantage |
$675.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$573.75
|
| Rate for Payer: Cigna Commercial |
$1,125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$1,125.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,125.00
|
|
|
MARKER TRIMARK CLIP TI TD13MR
|
Facility
|
OP
|
$388.00
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270673749R
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$58.20 |
| Max. Negotiated Rate |
$194.00 |
| Rate for Payer: Aetna Commercial |
$116.40
|
| Rate for Payer: Aetna Medicare Advantage |
$116.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$98.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$98.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$77.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$98.94
|
| Rate for Payer: Cigna Commercial |
$194.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$93.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.20
|
|
|
MARKER TRIMARK CLIP TI TD13MR
|
Facility
|
IP
|
$388.00
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270673749R
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$58.20 |
| Max. Negotiated Rate |
$93.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$77.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$93.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.20
|
|
|
MARKERTUMARKCLIPUSHAPE18G10CM
|
Facility
|
OP
|
$375.00
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270673704R
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$112.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$75.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
MARKERTUMARKCLIPUSHAPE18G10CM
|
Facility
|
IP
|
$375.00
|
|
|
Service Code
|
HCPCS A4648
|
| Hospital Charge Code |
270673704R
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$90.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$75.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
MARLEX MESH 1 X 4
|
Facility
|
IP
|
$821.00
|
|
| Hospital Charge Code |
270335117
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$123.15 |
| Max. Negotiated Rate |
$198.68 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$164.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$198.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$123.15
|
|
|
MARLEX MESH 1 X 4
|
Facility
|
OP
|
$821.00
|
|
| Hospital Charge Code |
270335117
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$123.15 |
| Max. Negotiated Rate |
$410.50 |
| Rate for Payer: Aetna Commercial |
$246.30
|
| Rate for Payer: Aetna Medicare Advantage |
$246.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$209.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$209.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$164.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$209.35
|
| Rate for Payer: Cigna Commercial |
$410.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$198.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$123.15
|
|
|
MASK 1032 TODDLER SZ 3
|
Facility
|
OP
|
$15.00
|
|
| Hospital Charge Code |
270667185
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.95 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Aetna Commercial |
$4.50
|
| Rate for Payer: Aetna Medicare Advantage |
$4.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.83
|
| Rate for Payer: Cigna Commercial |
$7.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.95
|
| Rate for Payer: Oxford Commercial |
$7.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.50
|
|