|
NEEDLE BIOPSY SOFT TISSUE*****
|
Facility
|
OP
|
$76.00
|
|
| Hospital Charge Code |
8003022
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$9.88 |
| Max. Negotiated Rate |
$38.00 |
| Rate for Payer: Aetna Commercial |
$22.80
|
| Rate for Payer: Aetna Medicare Advantage |
$22.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.38
|
| Rate for Payer: Cigna Commercial |
$38.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.88
|
| Rate for Payer: Oxford Commercial |
$38.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$38.00
|
|
|
NEEDLE BIOPSY SOFT TISSUE*****
|
Facility
|
IP
|
$76.00
|
|
| Hospital Charge Code |
8003022
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$11.40 |
| Max. Negotiated Rate |
$11.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.40
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669699R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669699N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$72.00
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669699R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$72.00
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669699
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669699N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669699
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$72.00
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669698R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669698R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$72.00
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669698
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$72.00
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669698
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$72.00
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669697R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669697R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$72.00
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$120.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$120.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BLUNT CANNULA
|
Facility
|
IP
|
$5.65
|
|
| Hospital Charge Code |
270041090
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.85 |
| Max. Negotiated Rate |
$0.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.85
|
|
|
NEEDLE BLUNT CANNULA
|
Facility
|
OP
|
$5.65
|
|
| Hospital Charge Code |
270041090
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.73 |
| Max. Negotiated Rate |
$2.83 |
| Rate for Payer: Aetna Commercial |
$1.70
|
| Rate for Payer: Aetna Medicare Advantage |
$1.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.44
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.44
|
| Rate for Payer: Cigna Commercial |
$2.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.73
|
| Rate for Payer: Oxford Commercial |
$2.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.83
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2
|
Facility
|
OP
|
$356.50
|
|
| Hospital Charge Code |
270020150
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.34 |
| Max. Negotiated Rate |
$178.25 |
| Rate for Payer: Aetna Commercial |
$106.95
|
| Rate for Payer: Aetna Medicare Advantage |
$106.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$90.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$90.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$90.91
|
| Rate for Payer: Cigna Commercial |
$178.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$46.34
|
| Rate for Payer: Oxford Commercial |
$178.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$178.25
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2
|
Facility
|
OP
|
$385.20
|
|
| Hospital Charge Code |
270020066C
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$50.08 |
| Max. Negotiated Rate |
$192.60 |
| Rate for Payer: Aetna Commercial |
$115.56
|
| Rate for Payer: Aetna Medicare Advantage |
$115.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$98.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$98.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$98.23
|
| Rate for Payer: Cigna Commercial |
$192.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.08
|
| Rate for Payer: Oxford Commercial |
$192.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.78
|
| Rate for Payer: UnitedHealthcare Commercial |
$192.60
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2
|
Facility
|
IP
|
$385.20
|
|
| Hospital Charge Code |
270020066C
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.78 |
| Max. Negotiated Rate |
$57.78 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.78
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2
|
Facility
|
IP
|
$356.50
|
|
| Hospital Charge Code |
270020150
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.48 |
| Max. Negotiated Rate |
$53.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.48
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2 B
|
Facility
|
IP
|
$1.00
|
|
| Hospital Charge Code |
270020150C
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$0.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.15
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2 B
|
Facility
|
OP
|
$1.00
|
|
| Hospital Charge Code |
270020150C
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.13 |
| Max. Negotiated Rate |
$0.50 |
| Rate for Payer: Aetna Commercial |
$0.30
|
| Rate for Payer: Aetna Medicare Advantage |
$0.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.26
|
| Rate for Payer: Cigna Commercial |
$0.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.13
|
| Rate for Payer: Oxford Commercial |
$0.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.50
|
|
|
NEEDLE BN CEMENT 11G 6IN INTRO
|
Facility
|
IP
|
$830.00
|
|
| Hospital Charge Code |
270698102
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$124.50 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$124.50
|
|