|
NEEDLE ATK ROT CUF 35MM 902964
|
Facility
|
OP
|
$170.45
|
|
| Hospital Charge Code |
270616222
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.16 |
| Max. Negotiated Rate |
$85.22 |
| Rate for Payer: Aetna Commercial |
$51.13
|
| Rate for Payer: Aetna Medicare Advantage |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43.46
|
| Rate for Payer: Cigna Commercial |
$85.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.16
|
| Rate for Payer: Oxford Commercial |
$85.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$85.22
|
|
|
NEEDLE AUTOSHIELD DUO PEN 30G
|
Facility
|
IP
|
$2.29
|
|
| Hospital Charge Code |
270020175
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.34 |
| Max. Negotiated Rate |
$0.34 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.34
|
|
|
NEEDLE AUTOSHIELD DUO PEN 30G
|
Facility
|
OP
|
$2.29
|
|
| Hospital Charge Code |
270020175
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.30 |
| Max. Negotiated Rate |
$1.15 |
| Rate for Payer: Aetna Commercial |
$0.69
|
| Rate for Payer: Aetna Medicare Advantage |
$0.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.58
|
| Rate for Payer: Cigna Commercial |
$1.15
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.30
|
| Rate for Payer: Oxford Commercial |
$1.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.34
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.15
|
|
|
NEEDLE BEVELED 8 GUAGE BMA 150
|
Facility
|
IP
|
$1,125.00
|
|
| Hospital Charge Code |
270693041
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$168.75 |
| Max. Negotiated Rate |
$168.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
|
|
NEEDLE BEVELED 8 GUAGE BMA 150
|
Facility
|
OP
|
$1,125.00
|
|
| Hospital Charge Code |
270693041
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$562.50 |
| Rate for Payer: Aetna Commercial |
$337.50
|
| Rate for Payer: Aetna Medicare Advantage |
$337.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$286.88
|
| Rate for Payer: Cigna Commercial |
$562.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$146.25
|
| Rate for Payer: Oxford Commercial |
$562.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$562.50
|
|
|
NEEDLE BEVEL TIP 11G
|
Facility
|
OP
|
$660.00
|
|
| Hospital Charge Code |
270678594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$85.80 |
| Max. Negotiated Rate |
$330.00 |
| Rate for Payer: Aetna Commercial |
$198.00
|
| Rate for Payer: Aetna Medicare Advantage |
$198.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$168.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$168.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$168.30
|
| Rate for Payer: Cigna Commercial |
$330.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$85.80
|
| Rate for Payer: Oxford Commercial |
$330.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$99.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$330.00
|
|
|
NEEDLE BEVEL TIP 11G
|
Facility
|
IP
|
$660.00
|
|
| Hospital Charge Code |
270678594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$99.00
|
|
|
NEEDLE BIOPSY 15G ASAP 15FR
|
Facility
|
OP
|
$323.25
|
|
| Hospital Charge Code |
270607888
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.02 |
| Max. Negotiated Rate |
$161.62 |
| Rate for Payer: Aetna Commercial |
$96.97
|
| Rate for Payer: Aetna Medicare Advantage |
$96.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$82.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$82.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$82.43
|
| Rate for Payer: Cigna Commercial |
$161.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.02
|
| Rate for Payer: Oxford Commercial |
$161.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$161.62
|
|
|
NEEDLE BIOPSY 15G ASAP 15FR
|
Facility
|
IP
|
$323.25
|
|
| Hospital Charge Code |
270607888
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.49 |
| Max. Negotiated Rate |
$48.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.49
|
|
|
NEEDLE BIOPSY 18G 15CM 259480
|
Facility
|
IP
|
$24.85
|
|
| Hospital Charge Code |
270600430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$3.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
|
|
NEEDLE BIOPSY 18G 15CM 259480
|
Facility
|
OP
|
$24.85
|
|
| Hospital Charge Code |
270600430
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.23 |
| Max. Negotiated Rate |
$12.43 |
| Rate for Payer: Aetna Commercial |
$7.46
|
| Rate for Payer: Aetna Medicare Advantage |
$7.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.34
|
| Rate for Payer: Cigna Commercial |
$12.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.23
|
| Rate for Payer: Oxford Commercial |
$12.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.43
|
|
|
NEEDLE BIOPSY 18GA X 20 CM
|
Facility
|
OP
|
$175.24
|
|
| Hospital Charge Code |
270650846
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.78 |
| Max. Negotiated Rate |
$87.62 |
| Rate for Payer: Aetna Commercial |
$52.57
|
| Rate for Payer: Aetna Medicare Advantage |
$52.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44.69
|
| Rate for Payer: Cigna Commercial |
$87.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.78
|
| Rate for Payer: Oxford Commercial |
$87.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$87.62
|
|
|
NEEDLE BIOPSY 18GA X 20 CM
|
Facility
|
IP
|
$175.24
|
|
| Hospital Charge Code |
270650846
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.29 |
| Max. Negotiated Rate |
$26.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.29
|
|
|
NEEDLE BIOPSY 18G KIDNEY 43407
|
Facility
|
OP
|
$326.45
|
|
| Hospital Charge Code |
270607643
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.44 |
| Max. Negotiated Rate |
$163.22 |
| Rate for Payer: Aetna Commercial |
$97.94
|
| Rate for Payer: Aetna Medicare Advantage |
$97.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.24
|
| Rate for Payer: Cigna Commercial |
$163.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.44
|
| Rate for Payer: Oxford Commercial |
$163.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$163.22
|
|
|
NEEDLE BIOPSY 18G KIDNEY 43407
|
Facility
|
IP
|
$326.45
|
|
| Hospital Charge Code |
270607643
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.97 |
| Max. Negotiated Rate |
$48.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.97
|
|
|
NEEDLE BIOPSY 18G LIVER 000401
|
Facility
|
IP
|
$220.85
|
|
| Hospital Charge Code |
270303215
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.13 |
| Max. Negotiated Rate |
$33.13 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.13
|
|
|
NEEDLE BIOPSY 18G LIVER 000401
|
Facility
|
OP
|
$220.85
|
|
| Hospital Charge Code |
270303215
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.71 |
| Max. Negotiated Rate |
$110.42 |
| Rate for Payer: Aetna Commercial |
$66.25
|
| Rate for Payer: Aetna Medicare Advantage |
$66.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$56.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$56.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$56.32
|
| Rate for Payer: Cigna Commercial |
$110.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.71
|
| Rate for Payer: Oxford Commercial |
$110.42
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.13
|
| Rate for Payer: UnitedHealthcare Commercial |
$110.42
|
|
|
NEEDLE BIOPSY 18G x 20 CM W/ I
|
Facility
|
IP
|
$1,206.15
|
|
| Hospital Charge Code |
270705769
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$180.92 |
| Max. Negotiated Rate |
$180.92 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$180.92
|
|
|
NEEDLE BIOPSY 18G x 20 CM W/ I
|
Facility
|
OP
|
$1,206.15
|
|
| Hospital Charge Code |
270705769
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$156.80 |
| Max. Negotiated Rate |
$603.08 |
| Rate for Payer: Aetna Commercial |
$361.85
|
| Rate for Payer: Aetna Medicare Advantage |
$361.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$307.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$307.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$307.57
|
| Rate for Payer: Cigna Commercial |
$603.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$156.80
|
| Rate for Payer: Oxford Commercial |
$603.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$180.92
|
| Rate for Payer: UnitedHealthcare Commercial |
$603.08
|
|
|
NEEDLE BIOPSY 19G 5CM 259466
|
Facility
|
OP
|
$24.85
|
|
| Hospital Charge Code |
270600439
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.23 |
| Max. Negotiated Rate |
$12.43 |
| Rate for Payer: Aetna Commercial |
$7.46
|
| Rate for Payer: Aetna Medicare Advantage |
$7.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.34
|
| Rate for Payer: Cigna Commercial |
$12.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.23
|
| Rate for Payer: Oxford Commercial |
$12.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.43
|
|
|
NEEDLE BIOPSY 19G 5CM 259466
|
Facility
|
IP
|
$24.85
|
|
| Hospital Charge Code |
270600439
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$3.73 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.73
|
|
|
NEEDLE BIOPSY 20 GA X 11 CM
|
Facility
|
OP
|
$300.57
|
|
| Hospital Charge Code |
270684059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.07 |
| Max. Negotiated Rate |
$150.28 |
| Rate for Payer: Aetna Commercial |
$90.17
|
| Rate for Payer: Aetna Medicare Advantage |
$90.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.65
|
| Rate for Payer: Cigna Commercial |
$150.28
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.07
|
| Rate for Payer: Oxford Commercial |
$150.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$150.28
|
|
|
NEEDLE BIOPSY 20 GA X 11 CM
|
Facility
|
IP
|
$300.57
|
|
| Hospital Charge Code |
270684059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.09 |
| Max. Negotiated Rate |
$45.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.09
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
IP
|
$285.77
|
|
| Hospital Charge Code |
270665761
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.87 |
| Max. Negotiated Rate |
$42.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
OP
|
$285.77
|
|
| Hospital Charge Code |
270665761R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.15 |
| Max. Negotiated Rate |
$142.88 |
| Rate for Payer: Aetna Commercial |
$85.73
|
| Rate for Payer: Aetna Medicare Advantage |
$85.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$72.87
|
| Rate for Payer: Cigna Commercial |
$142.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$37.15
|
| Rate for Payer: Oxford Commercial |
$142.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$142.88
|
|