|
NEEDLE 20G X 1 1/2 WINGED
|
Facility
|
OP
|
$29.65
|
|
| Hospital Charge Code |
270302848
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.85 |
| Max. Negotiated Rate |
$14.82 |
| Rate for Payer: Aetna Commercial |
$8.89
|
| Rate for Payer: Aetna Medicare Advantage |
$8.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.56
|
| Rate for Payer: Cigna Commercial |
$14.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.85
|
| Rate for Payer: Oxford Commercial |
$14.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$14.82
|
|
|
NEEDLE 21G 4.0CM ANGIOGRAPHIC
|
Facility
|
IP
|
$11.00
|
|
| Hospital Charge Code |
270658271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.65 |
| Max. Negotiated Rate |
$1.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.65
|
|
|
NEEDLE 21G 4.0CM ANGIOGRAPHIC
|
Facility
|
OP
|
$11.00
|
|
| Hospital Charge Code |
270658271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.43 |
| Max. Negotiated Rate |
$5.50 |
| Rate for Payer: Aetna Commercial |
$3.30
|
| Rate for Payer: Aetna Medicare Advantage |
$3.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.81
|
| Rate for Payer: Cigna Commercial |
$5.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.43
|
| Rate for Payer: Oxford Commercial |
$5.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.50
|
|
|
NEEDLE 22G EUS ASPIR M00550011
|
Facility
|
IP
|
$1,300.00
|
|
| Hospital Charge Code |
270647234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$195.00 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.00
|
|
|
NEEDLE 22G EUS ASPIR M00550011
|
Facility
|
OP
|
$1,300.00
|
|
| Hospital Charge Code |
270647234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$169.00 |
| Max. Negotiated Rate |
$650.00 |
| Rate for Payer: Aetna Commercial |
$390.00
|
| Rate for Payer: Aetna Medicare Advantage |
$390.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$331.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$331.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$331.50
|
| Rate for Payer: Cigna Commercial |
$650.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$169.00
|
| Rate for Payer: Oxford Commercial |
$650.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$195.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$650.00
|
|
|
NEEDLE 5 FORAMEN 20G
|
Facility
|
IP
|
$200.00
|
|
| Hospital Charge Code |
270671804
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
|
|
NEEDLE 5 FORAMEN 20G
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270671804
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$60.00
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.00
|
| Rate for Payer: Cigna Commercial |
$100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.00
|
| Rate for Payer: Oxford Commercial |
$100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$100.00
|
|
|
NEEDLE ACCESS PORT 20GX2
|
Facility
|
IP
|
$30.00
|
|
| Hospital Charge Code |
270665944
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.50 |
| Max. Negotiated Rate |
$4.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.50
|
|
|
NEEDLE ACCESS PORT 20GX2
|
Facility
|
OP
|
$30.00
|
|
| Hospital Charge Code |
270665944
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.90 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: Aetna Commercial |
$9.00
|
| Rate for Payer: Aetna Medicare Advantage |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.65
|
| Rate for Payer: Cigna Commercial |
$15.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.90
|
| Rate for Payer: Oxford Commercial |
$15.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$15.00
|
|
|
NEEDLE ACCUSTICK W/RO MARKER
|
Facility
|
OP
|
$525.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270623765
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$78.75 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna Commercial |
$157.50
|
| Rate for Payer: Aetna Medicare Advantage |
$157.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$133.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$133.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$105.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$133.88
|
| Rate for Payer: Cigna Commercial |
$262.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$127.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$78.75
|
|
|
NEEDLE ACCUSTICK W/RO MARKER
|
Facility
|
IP
|
$525.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270623765
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$78.75 |
| Max. Negotiated Rate |
$127.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$105.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$127.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$78.75
|
|
|
NEEDLE ACQUIRE 19 GA FNB
|
Facility
|
IP
|
$2,750.00
|
|
| Hospital Charge Code |
270681803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$412.50 |
| Max. Negotiated Rate |
$412.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$412.50
|
|
|
NEEDLE ACQUIRE 19 GA FNB
|
Facility
|
OP
|
$2,750.00
|
|
| Hospital Charge Code |
270681803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$357.50 |
| Max. Negotiated Rate |
$1,375.00 |
| Rate for Payer: Aetna Commercial |
$825.00
|
| Rate for Payer: Aetna Medicare Advantage |
$825.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$701.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$701.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$701.25
|
| Rate for Payer: Cigna Commercial |
$1,375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$357.50
|
| Rate for Payer: Oxford Commercial |
$1,375.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$412.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,375.00
|
|
|
NEEDLE ACQUIRE 22G
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270678046
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$256.75 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$592.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$256.75
|
| Rate for Payer: Oxford Commercial |
$987.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$987.50
|
|
|
NEEDLE ACQUIRE 22G
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270678046
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ACQUIRE 22GA FNB
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270679457
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$256.75 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$592.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$256.75
|
| Rate for Payer: Oxford Commercial |
$987.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$987.50
|
|
|
NEEDLE ACQUIRE 22GA FNB
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270679457
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ACQUIRE 25 G
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270679063
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$256.75 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$592.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$256.75
|
| Rate for Payer: Oxford Commercial |
$987.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$987.50
|
|
|
NEEDLE ACQUIRE 25 G
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270679063
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ACQUIRE 25GA FNB
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270679458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$256.75 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$592.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$256.75
|
| Rate for Payer: Oxford Commercial |
$987.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$987.50
|
|
|
NEEDLE ACQUIRE 25GA FNB
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270679458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ANESTHESIA EPIDURAL
|
Facility
|
IP
|
$39.15
|
|
| Hospital Charge Code |
270650825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.87 |
| Max. Negotiated Rate |
$5.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.87
|
|
|
NEEDLE ANESTHESIA EPIDURAL
|
Facility
|
OP
|
$39.15
|
|
| Hospital Charge Code |
270650825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.09 |
| Max. Negotiated Rate |
$19.57 |
| Rate for Payer: Aetna Commercial |
$11.74
|
| Rate for Payer: Aetna Medicare Advantage |
$11.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.98
|
| Rate for Payer: Cigna Commercial |
$19.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.09
|
| Rate for Payer: Oxford Commercial |
$19.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.57
|
|
|
NEEDLE ANGIOGRAPHIC 130ml
|
Facility
|
IP
|
$24.48
|
|
| Hospital Charge Code |
270639113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
|
|
NEEDLE ANGIOGRAPHIC 130ml
|
Facility
|
OP
|
$24.48
|
|
| Hospital Charge Code |
270639113
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.18 |
| Max. Negotiated Rate |
$12.24 |
| Rate for Payer: Aetna Commercial |
$7.34
|
| Rate for Payer: Aetna Medicare Advantage |
$7.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.24
|
| Rate for Payer: Cigna Commercial |
$12.24
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.18
|
| Rate for Payer: Oxford Commercial |
$12.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.24
|
|