|
NAIL RETRO FEMORAL TI 11x360mm
|
Facility
|
OP
|
$6,849.00
|
|
| Hospital Charge Code |
270675112
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,027.35 |
| Max. Negotiated Rate |
$3,424.50 |
| Rate for Payer: Aetna Commercial |
$2,054.70
|
| Rate for Payer: Aetna Medicare Advantage |
$2,054.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,746.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,746.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,369.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,746.49
|
| Rate for Payer: Cigna Commercial |
$3,424.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,657.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,027.35
|
|
|
NAIL RETROGRADE 5mm x 80mm
|
Facility
|
OP
|
$4,613.65
|
|
| Hospital Charge Code |
270626962
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$692.05 |
| Max. Negotiated Rate |
$2,306.82 |
| Rate for Payer: Aetna Commercial |
$1,384.10
|
| Rate for Payer: Aetna Medicare Advantage |
$1,384.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,176.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,176.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$922.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,176.48
|
| Rate for Payer: Cigna Commercial |
$2,306.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,116.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$692.05
|
|
|
NAIL RETROGRADE 5mm x 80mm
|
Facility
|
IP
|
$4,613.65
|
|
| Hospital Charge Code |
270626962
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$692.05 |
| Max. Negotiated Rate |
$1,116.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$922.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,116.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$692.05
|
|
|
NAIL RFNA ANGLED 10X400MM 5D
|
Facility
|
IP
|
$22,745.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699428
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,411.75 |
| Max. Negotiated Rate |
$5,504.29 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,549.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,504.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,411.75
|
|
|
NAIL RFNA ANGLED 10X400MM 5D
|
Facility
|
OP
|
$22,745.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699428
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,411.75 |
| Max. Negotiated Rate |
$11,372.50 |
| Rate for Payer: Aetna Commercial |
$6,823.50
|
| Rate for Payer: Aetna Medicare Advantage |
$6,823.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,799.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,799.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,549.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,799.98
|
| Rate for Payer: Cigna Commercial |
$11,372.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5,504.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,411.75
|
|
|
NAIL RFNA STD BEND 11X340MM
|
Facility
|
IP
|
$9,916.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270698098
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,487.47 |
| Max. Negotiated Rate |
$2,399.79 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,983.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,399.79
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,487.47
|
|
|
NAIL RFNA STD BEND 11X340MM
|
Facility
|
OP
|
$9,916.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270698098
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,487.47 |
| Max. Negotiated Rate |
$4,958.25 |
| Rate for Payer: Aetna Commercial |
$2,974.95
|
| Rate for Payer: Aetna Medicare Advantage |
$2,974.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,528.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,528.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,983.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,528.71
|
| Rate for Payer: Cigna Commercial |
$4,958.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2,399.79
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,487.47
|
|
|
NAIL RIGHT 11X400MMX125 DEG
|
Facility
|
IP
|
$16,440.00
|
|
| Hospital Charge Code |
270670508
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,466.00 |
| Max. Negotiated Rate |
$3,978.48 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,288.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,978.48
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,466.00
|
|
|
NAIL RIGHT 11X400MMX125 DEG
|
Facility
|
OP
|
$16,440.00
|
|
| Hospital Charge Code |
270670508
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,466.00 |
| Max. Negotiated Rate |
$8,220.00 |
| Rate for Payer: Aetna Commercial |
$4,932.00
|
| Rate for Payer: Aetna Medicare Advantage |
$4,932.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4,192.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4,192.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,288.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4,192.20
|
| Rate for Payer: Cigna Commercial |
$8,220.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,978.48
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,466.00
|
|
|
NAIL RIGHT 11X420MMX125 DEG
|
Facility
|
IP
|
$16,440.00
|
|
| Hospital Charge Code |
270670507
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,466.00 |
| Max. Negotiated Rate |
$3,978.48 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,288.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,978.48
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,466.00
|
|
|
NAIL RIGHT 11X420MMX125 DEG
|
Facility
|
OP
|
$16,440.00
|
|
| Hospital Charge Code |
270670507
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,466.00 |
| Max. Negotiated Rate |
$8,220.00 |
| Rate for Payer: Aetna Commercial |
$4,932.00
|
| Rate for Payer: Aetna Medicare Advantage |
$4,932.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4,192.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4,192.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,288.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4,192.20
|
| Rate for Payer: Cigna Commercial |
$8,220.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,978.48
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,466.00
|
|
|
NAIL SBFS
|
Facility
|
IP
|
$2,030.00
|
|
| Hospital Charge Code |
270657694
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$304.50 |
| Max. Negotiated Rate |
$491.26 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$406.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$491.26
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$304.50
|
|
|
NAIL SBFS
|
Facility
|
OP
|
$2,030.00
|
|
| Hospital Charge Code |
270657694
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$304.50 |
| Max. Negotiated Rate |
$1,015.00 |
| Rate for Payer: Aetna Commercial |
$609.00
|
| Rate for Payer: Aetna Medicare Advantage |
$609.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$517.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$517.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$406.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$517.65
|
| Rate for Payer: Cigna Commercial |
$1,015.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$491.26
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$304.50
|
|
|
NAIL SHF GAMMA 12/125 33700225
|
Facility
|
IP
|
$3,701.65
|
|
| Hospital Charge Code |
270601379
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$555.25 |
| Max. Negotiated Rate |
$895.80 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$740.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$895.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$555.25
|
|
|
NAIL SHF GAMMA 12/125 33700225
|
Facility
|
OP
|
$3,701.65
|
|
| Hospital Charge Code |
270601379
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$555.25 |
| Max. Negotiated Rate |
$1,850.83 |
| Rate for Payer: Aetna Commercial |
$1,110.49
|
| Rate for Payer: Aetna Medicare Advantage |
$1,110.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$943.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$943.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$740.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$943.92
|
| Rate for Payer: Cigna Commercial |
$1,850.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$895.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$555.25
|
|
|
NAIL SHF GAMMA12/135 33700235*
|
Facility
|
OP
|
$2,193.00
|
|
| Hospital Charge Code |
1605484
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$1,096.50 |
| Rate for Payer: Aetna Commercial |
$657.90
|
| Rate for Payer: Aetna Medicare Advantage |
$657.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$559.22
|
| Rate for Payer: Cigna Commercial |
$1,096.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|
|
NAIL SHF GAMMA12/135 33700235*
|
Facility
|
IP
|
$2,193.00
|
|
| Hospital Charge Code |
1605484
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$530.71 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|
|
NAIL SHF GAMMA12/140 33700240*
|
Facility
|
OP
|
$2,193.00
|
|
| Hospital Charge Code |
1605492
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$1,096.50 |
| Rate for Payer: Aetna Commercial |
$657.90
|
| Rate for Payer: Aetna Medicare Advantage |
$657.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$559.22
|
| Rate for Payer: Cigna Commercial |
$1,096.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|
|
NAIL SHF GAMMA12/140 33700240*
|
Facility
|
IP
|
$2,193.00
|
|
| Hospital Charge Code |
1605492
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$530.71 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|
|
NAIL SHF GAMMA 14/125 33700425
|
Facility
|
OP
|
$4,042.45
|
|
| Hospital Charge Code |
270601376
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$606.37 |
| Max. Negotiated Rate |
$2,021.22 |
| Rate for Payer: Aetna Commercial |
$1,212.73
|
| Rate for Payer: Aetna Medicare Advantage |
$1,212.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,030.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,030.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$808.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,030.82
|
| Rate for Payer: Cigna Commercial |
$2,021.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$978.27
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$606.37
|
|
|
NAIL SHF GAMMA 14/125 33700425
|
Facility
|
IP
|
$4,042.45
|
|
| Hospital Charge Code |
270601376
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$606.37 |
| Max. Negotiated Rate |
$978.27 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$808.49
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$978.27
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$606.37
|
|
|
NAIL SHF GAMMA14/135 33700435*
|
Facility
|
IP
|
$2,193.00
|
|
| Hospital Charge Code |
1605500
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$530.71 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|
|
NAIL SHF GAMMA14/135 33700435*
|
Facility
|
OP
|
$2,193.00
|
|
| Hospital Charge Code |
1605500
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$1,096.50 |
| Rate for Payer: Aetna Commercial |
$657.90
|
| Rate for Payer: Aetna Medicare Advantage |
$657.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$559.22
|
| Rate for Payer: Cigna Commercial |
$1,096.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|
|
NAIL SHF GAMMA14/140 33700440*
|
Facility
|
OP
|
$2,193.00
|
|
| Hospital Charge Code |
1605518
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$1,096.50 |
| Rate for Payer: Aetna Commercial |
$657.90
|
| Rate for Payer: Aetna Medicare Advantage |
$657.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$559.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$559.22
|
| Rate for Payer: Cigna Commercial |
$1,096.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|
|
NAIL SHF GAMMA14/140 33700440*
|
Facility
|
IP
|
$2,193.00
|
|
| Hospital Charge Code |
1605518
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$328.95 |
| Max. Negotiated Rate |
$530.71 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$438.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$530.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$328.95
|
|