|
NAIL BMT UX TIB 33344126
|
Facility
|
IP
|
$2,928.00
|
|
| Hospital Charge Code |
270609855
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$439.20 |
| Max. Negotiated Rate |
$708.58 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$585.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$708.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$439.20
|
|
|
NAIL BMT UX TIB 33344126
|
Facility
|
OP
|
$2,928.00
|
|
| Hospital Charge Code |
270609855
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$439.20 |
| Max. Negotiated Rate |
$1,464.00 |
| Rate for Payer: Aetna Commercial |
$878.40
|
| Rate for Payer: Aetna Medicare Advantage |
$878.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$746.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$746.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$585.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$746.64
|
| Rate for Payer: Cigna Commercial |
$1,464.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$708.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$439.20
|
|
|
NAIL BNX CONTR LABRAL 52350A
|
Facility
|
OP
|
$1,342.45
|
|
| Hospital Charge Code |
270620667
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$201.37 |
| Max. Negotiated Rate |
$671.23 |
| Rate for Payer: Aetna Commercial |
$402.74
|
| Rate for Payer: Aetna Medicare Advantage |
$402.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$342.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$342.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$268.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$342.32
|
| Rate for Payer: Cigna Commercial |
$671.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$324.87
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$201.37
|
|
|
NAIL BNX CONTR LABRAL 52350A
|
Facility
|
IP
|
$1,342.45
|
|
| Hospital Charge Code |
270620667
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$201.37 |
| Max. Negotiated Rate |
$324.87 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$268.49
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$324.87
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$201.37
|
|
|
NAIL CANN PROX HUM 7.0x150mm
|
Facility
|
OP
|
$7,605.00
|
|
| Hospital Charge Code |
270662823
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,140.75 |
| Max. Negotiated Rate |
$3,802.50 |
| Rate for Payer: Aetna Commercial |
$2,281.50
|
| Rate for Payer: Aetna Medicare Advantage |
$2,281.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,939.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,939.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,521.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,939.28
|
| Rate for Payer: Cigna Commercial |
$3,802.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,840.41
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,140.75
|
|
|
NAIL CANN PROX HUM 7.0x150mm
|
Facility
|
IP
|
$7,605.00
|
|
| Hospital Charge Code |
270662823
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,140.75 |
| Max. Negotiated Rate |
$1,840.41 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,521.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,840.41
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,140.75
|
|
|
NAIL CAP ANTE FEM Z NAIL
|
Facility
|
OP
|
$1,195.00
|
|
| Hospital Charge Code |
270658859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$179.25 |
| Max. Negotiated Rate |
$597.50 |
| Rate for Payer: Aetna Commercial |
$358.50
|
| Rate for Payer: Aetna Medicare Advantage |
$358.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$304.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$304.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$239.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$304.73
|
| Rate for Payer: Cigna Commercial |
$597.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$289.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$179.25
|
|
|
NAIL CAP ANTE FEM Z NAIL
|
Facility
|
IP
|
$1,195.00
|
|
| Hospital Charge Code |
270658859
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$179.25 |
| Max. Negotiated Rate |
$289.19 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$239.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$289.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$179.25
|
|
|
NAIL ELASTIC TI 4.0MM 440MM
|
Facility
|
OP
|
$1,656.00
|
|
| Hospital Charge Code |
270667308
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$248.40 |
| Max. Negotiated Rate |
$828.00 |
| Rate for Payer: Aetna Commercial |
$496.80
|
| Rate for Payer: Aetna Medicare Advantage |
$496.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$422.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$422.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$331.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$422.28
|
| Rate for Payer: Cigna Commercial |
$828.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$400.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.40
|
|
|
NAIL ELASTIC TI 4.0MM 440MM
|
Facility
|
IP
|
$1,656.00
|
|
| Hospital Charge Code |
270667308
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$248.40 |
| Max. Negotiated Rate |
$400.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$331.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$400.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.40
|
|
|
NAIL- EX 9MM TI HUMERAL
|
Facility
|
OP
|
$7,836.00
|
|
| Hospital Charge Code |
270660909
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,175.40 |
| Max. Negotiated Rate |
$3,918.00 |
| Rate for Payer: Aetna Commercial |
$2,350.80
|
| Rate for Payer: Aetna Medicare Advantage |
$2,350.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,998.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,998.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,567.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,998.18
|
| Rate for Payer: Cigna Commercial |
$3,918.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,896.31
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,175.40
|
|
|
NAIL- EX 9MM TI HUMERAL
|
Facility
|
IP
|
$7,836.00
|
|
| Hospital Charge Code |
270660909
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,175.40 |
| Max. Negotiated Rate |
$1,896.31 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,567.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,896.31
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,175.40
|
|
|
NAIL EXTRACTOR TAP
|
Facility
|
OP
|
$4,720.00
|
|
| Hospital Charge Code |
270672052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$613.60 |
| Max. Negotiated Rate |
$2,360.00 |
| Rate for Payer: Aetna Commercial |
$1,416.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,416.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,203.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,203.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,203.60
|
| Rate for Payer: Cigna Commercial |
$2,360.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$613.60
|
| Rate for Payer: Oxford Commercial |
$2,360.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$708.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,360.00
|
|
|
NAIL EXTRACTOR TAP
|
Facility
|
IP
|
$4,720.00
|
|
| Hospital Charge Code |
270672052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$708.00 |
| Max. Negotiated Rate |
$708.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$708.00
|
|
|
NAIL FEM 10mm 34 RT 225732011
|
Facility
|
IP
|
$6,123.65
|
|
| Hospital Charge Code |
270638725
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$918.55 |
| Max. Negotiated Rate |
$1,481.92 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,224.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,481.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$918.55
|
|
|
NAIL FEM 10mm 34 RT 225732011
|
Facility
|
OP
|
$6,123.65
|
|
| Hospital Charge Code |
270638725
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$918.55 |
| Max. Negotiated Rate |
$3,061.82 |
| Rate for Payer: Aetna Commercial |
$1,837.10
|
| Rate for Payer: Aetna Medicare Advantage |
$1,837.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,561.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,561.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,224.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,561.53
|
| Rate for Payer: Cigna Commercial |
$3,061.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,481.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$918.55
|
|
|
NAIL FEM 12x28mm RETROG 343728
|
Facility
|
OP
|
$8,320.00
|
|
| Hospital Charge Code |
270643250
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,248.00 |
| Max. Negotiated Rate |
$4,160.00 |
| Rate for Payer: Aetna Commercial |
$2,496.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,496.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,121.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,121.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,664.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,121.60
|
| Rate for Payer: Cigna Commercial |
$4,160.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,013.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,248.00
|
|
|
NAIL FEM 12x28mm RETROG 343728
|
Facility
|
IP
|
$8,320.00
|
|
| Hospital Charge Code |
270643250
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,248.00 |
| Max. Negotiated Rate |
$2,013.44 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,664.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,013.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,248.00
|
|
|
NAIL FEM IM 11x34 LT 225734001
|
Facility
|
OP
|
$996.25
|
|
| Hospital Charge Code |
270634156
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.44 |
| Max. Negotiated Rate |
$498.12 |
| Rate for Payer: Aetna Commercial |
$298.88
|
| Rate for Payer: Aetna Medicare Advantage |
$298.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$254.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$254.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$199.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$254.04
|
| Rate for Payer: Cigna Commercial |
$498.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$241.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.44
|
|
|
NAIL FEM IM 11x34 LT 225734001
|
Facility
|
IP
|
$996.25
|
|
| Hospital Charge Code |
270634156
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$149.44 |
| Max. Negotiated Rate |
$241.09 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$199.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$241.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.44
|
|
|
NAIL FEM IM 14x40 LT 225740004
|
Facility
|
IP
|
$5,349.00
|
|
| Hospital Charge Code |
270633871
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$802.35 |
| Max. Negotiated Rate |
$1,294.46 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,069.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,294.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$802.35
|
|
|
NAIL FEM IM 14x40 LT 225740004
|
Facility
|
OP
|
$5,349.00
|
|
| Hospital Charge Code |
270633871
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$802.35 |
| Max. Negotiated Rate |
$2,674.50 |
| Rate for Payer: Aetna Commercial |
$1,604.70
|
| Rate for Payer: Aetna Medicare Advantage |
$1,604.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,363.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,363.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,069.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,363.99
|
| Rate for Payer: Cigna Commercial |
$2,674.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,294.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$802.35
|
|
|
NAIL FEML 11x28cm RETRO 343628
|
Facility
|
OP
|
$4,905.50
|
|
| Hospital Charge Code |
270630851
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$735.83 |
| Max. Negotiated Rate |
$2,452.75 |
| Rate for Payer: Aetna Commercial |
$1,471.65
|
| Rate for Payer: Aetna Medicare Advantage |
$1,471.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,250.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,250.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$981.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,250.90
|
| Rate for Payer: Cigna Commercial |
$2,452.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,187.13
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$735.83
|
|
|
NAIL FEML 11x28cm RETRO 343628
|
Facility
|
IP
|
$4,905.50
|
|
| Hospital Charge Code |
270630851
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$735.83 |
| Max. Negotiated Rate |
$1,187.13 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$981.10
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,187.13
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$735.83
|
|
|
NAIL FEML I/M 12 X 34 22401234
|
Facility
|
OP
|
$4,605.65
|
|
| Hospital Charge Code |
270625978
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$690.85 |
| Max. Negotiated Rate |
$2,302.82 |
| Rate for Payer: Aetna Commercial |
$1,381.69
|
| Rate for Payer: Aetna Medicare Advantage |
$1,381.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,174.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,174.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$921.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,174.44
|
| Rate for Payer: Cigna Commercial |
$2,302.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,114.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$690.85
|
|