|
NAIL VAL 4.3MM DRILL SHORT
|
Facility
|
IP
|
$1,427.65
|
|
| Hospital Charge Code |
270699021
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$214.15 |
| Max. Negotiated Rate |
$214.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$214.15
|
|
|
NAIL VALOR 10MMX200MM
|
Facility
|
IP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270678179
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,906.50 |
| Max. Negotiated Rate |
$3,075.82 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
|
|
NAIL VALOR 10MMX200MM
|
Facility
|
OP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270678179
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,906.50 |
| Max. Negotiated Rate |
$6,355.00 |
| Rate for Payer: Aetna Commercial |
$3,813.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,813.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,241.05
|
| Rate for Payer: Cigna Commercial |
$6,355.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
|
|
NAIL VALOR 10x150MM LEFT
|
Facility
|
OP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270677448
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,906.50 |
| Max. Negotiated Rate |
$6,355.00 |
| Rate for Payer: Aetna Commercial |
$3,813.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,813.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,241.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,241.05
|
| Rate for Payer: Cigna Commercial |
$6,355.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
|
|
NAIL VALOR 10x150MM LEFT
|
Facility
|
IP
|
$12,710.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270677448
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,906.50 |
| Max. Negotiated Rate |
$3,075.82 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,542.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,075.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,906.50
|
|
|
NAIL VALOR LG RT 10MMX250MM
|
Facility
|
IP
|
$13,895.00
|
|
| Hospital Charge Code |
270702748
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,084.25 |
| Max. Negotiated Rate |
$3,362.59 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,779.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,362.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,084.25
|
|
|
NAIL VALOR LG RT 10MMX250MM
|
Facility
|
OP
|
$13,895.00
|
|
| Hospital Charge Code |
270702748
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,084.25 |
| Max. Negotiated Rate |
$6,947.50 |
| Rate for Payer: Aetna Commercial |
$4,168.50
|
| Rate for Payer: Aetna Medicare Advantage |
$4,168.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,543.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,543.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,779.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,543.22
|
| Rate for Payer: Cigna Commercial |
$6,947.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,362.59
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,084.25
|
|
|
NAIL VALOR RT SMALL 10X150MM
|
Facility
|
OP
|
$25,640.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270694904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,846.00 |
| Max. Negotiated Rate |
$12,820.00 |
| Rate for Payer: Aetna Commercial |
$7,692.00
|
| Rate for Payer: Aetna Medicare Advantage |
$7,692.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6,538.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6,538.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,128.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6,538.20
|
| Rate for Payer: Cigna Commercial |
$12,820.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,204.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,846.00
|
|
|
NAIL VALOR RT SMALL 10X150MM
|
Facility
|
IP
|
$25,640.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270694904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,846.00 |
| Max. Negotiated Rate |
$6,204.88 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$5,128.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6,204.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,846.00
|
|
|
NAIL VALOR SM RT 11.5X150MM
|
Facility
|
OP
|
$16,205.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699263
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,430.75 |
| Max. Negotiated Rate |
$8,102.50 |
| Rate for Payer: Aetna Commercial |
$4,861.50
|
| Rate for Payer: Aetna Medicare Advantage |
$4,861.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4,132.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4,132.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,241.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4,132.27
|
| Rate for Payer: Cigna Commercial |
$8,102.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,921.61
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,430.75
|
|
|
NAIL VALOR SM RT 11.5X150MM
|
Facility
|
IP
|
$16,205.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270699263
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,430.75 |
| Max. Negotiated Rate |
$3,921.61 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$3,241.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,921.61
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2,430.75
|
|
|
NAIL WIN 2.5MM FLEXIBLE PED
|
Facility
|
OP
|
$1,135.00
|
|
| Hospital Charge Code |
270663208
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$567.50 |
| Rate for Payer: Aetna Commercial |
$340.50
|
| Rate for Payer: Aetna Medicare Advantage |
$340.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$289.43
|
| Rate for Payer: Cigna Commercial |
$567.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
NAIL WIN 2.5MM FLEXIBLE PED
|
Facility
|
IP
|
$1,135.00
|
|
| Hospital Charge Code |
270663208
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$274.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
NAIL WIN 2MM FLEXIBLE PED
|
Facility
|
IP
|
$1,135.00
|
|
| Hospital Charge Code |
270663207
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$274.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
NAIL WIN 2MM FLEXIBLE PED
|
Facility
|
OP
|
$1,135.00
|
|
| Hospital Charge Code |
270663207
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$567.50 |
| Rate for Payer: Aetna Commercial |
$340.50
|
| Rate for Payer: Aetna Medicare Advantage |
$340.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$289.43
|
| Rate for Payer: Cigna Commercial |
$567.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
NAIL ZIM HUMRL 10 25 225425510
|
Facility
|
IP
|
$4,689.65
|
|
| Hospital Charge Code |
270619865
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$1,134.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|
|
NAIL ZIM HUMRL 10 25 225425510
|
Facility
|
OP
|
$4,689.65
|
|
| Hospital Charge Code |
270619865
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$2,344.82 |
| Rate for Payer: Aetna Commercial |
$1,406.89
|
| Rate for Payer: Aetna Medicare Advantage |
$1,406.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,195.86
|
| Rate for Payer: Cigna Commercial |
$2,344.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|
|
NAIL ZIM HUMRL 11 225430011
|
Facility
|
OP
|
$4,689.65
|
|
| Hospital Charge Code |
270619334
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$2,344.82 |
| Rate for Payer: Aetna Commercial |
$1,406.89
|
| Rate for Payer: Aetna Medicare Advantage |
$1,406.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,195.86
|
| Rate for Payer: Cigna Commercial |
$2,344.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|
|
NAIL ZIM HUMRL 11 225430011
|
Facility
|
IP
|
$4,689.65
|
|
| Hospital Charge Code |
270619334
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$1,134.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|
|
NAIL ZIM HUMRL 8 22 225422508
|
Facility
|
IP
|
$4,208.00
|
|
| Hospital Charge Code |
270625007
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$631.20 |
| Max. Negotiated Rate |
$1,018.34 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$841.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,018.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$631.20
|
|
|
NAIL ZIM HUMRL 8 22 225422508
|
Facility
|
OP
|
$4,208.00
|
|
| Hospital Charge Code |
270625007
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$631.20 |
| Max. Negotiated Rate |
$2,104.00 |
| Rate for Payer: Aetna Commercial |
$1,262.40
|
| Rate for Payer: Aetna Medicare Advantage |
$1,262.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,073.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,073.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$841.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,073.04
|
| Rate for Payer: Cigna Commercial |
$2,104.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,018.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$631.20
|
|
|
NAIL ZIM HUMRL 8 24 224724008
|
Facility
|
OP
|
$4,800.85
|
|
| Hospital Charge Code |
270610832
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$720.13 |
| Max. Negotiated Rate |
$2,400.43 |
| Rate for Payer: Aetna Commercial |
$1,440.26
|
| Rate for Payer: Aetna Medicare Advantage |
$1,440.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,224.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,224.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$960.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,224.22
|
| Rate for Payer: Cigna Commercial |
$2,400.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,161.81
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$720.13
|
|
|
NAIL ZIM HUMRL 8 24 224724008
|
Facility
|
IP
|
$4,800.85
|
|
| Hospital Charge Code |
270610832
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$720.13 |
| Max. Negotiated Rate |
$1,161.81 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$960.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,161.81
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$720.13
|
|
|
NAIL ZIM HUMRL 8 24 225421009
|
Facility
|
IP
|
$4,689.65
|
|
| Hospital Charge Code |
270618073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$1,134.90 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|
|
NAIL ZIM HUMRL 8 24 225421009
|
Facility
|
OP
|
$4,689.65
|
|
| Hospital Charge Code |
270618073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$703.45 |
| Max. Negotiated Rate |
$2,344.82 |
| Rate for Payer: Aetna Commercial |
$1,406.89
|
| Rate for Payer: Aetna Medicare Advantage |
$1,406.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,195.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$937.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,195.86
|
| Rate for Payer: Cigna Commercial |
$2,344.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,134.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$703.45
|
|