|
NEEDLE CONCEPT SUTURE PASSER
|
Facility
|
OP
|
$1,311.00
|
|
| Hospital Charge Code |
270676307
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$170.43 |
| Max. Negotiated Rate |
$655.50 |
| Rate for Payer: Aetna Commercial |
$393.30
|
| Rate for Payer: Aetna Medicare Advantage |
$393.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$334.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$334.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$334.31
|
| Rate for Payer: Cigna Commercial |
$655.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$170.43
|
| Rate for Payer: Oxford Commercial |
$655.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$196.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$655.50
|
|
|
NEEDLE CONTRAST
|
Facility
|
OP
|
$153.00
|
|
| Hospital Charge Code |
270638458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.89 |
| Max. Negotiated Rate |
$76.50 |
| Rate for Payer: Aetna Commercial |
$45.90
|
| Rate for Payer: Aetna Medicare Advantage |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$39.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$39.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$39.02
|
| Rate for Payer: Cigna Commercial |
$76.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.89
|
| Rate for Payer: Oxford Commercial |
$76.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.50
|
|
|
NEEDLE CONTRAST
|
Facility
|
IP
|
$153.00
|
|
| Hospital Charge Code |
270638458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.95 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.95
|
|
|
NEEDLE CONTRAST 25G 4mm 200cm
|
Facility
|
OP
|
$199.00
|
|
| Hospital Charge Code |
270644054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.87 |
| Max. Negotiated Rate |
$99.50 |
| Rate for Payer: Aetna Commercial |
$59.70
|
| Rate for Payer: Aetna Medicare Advantage |
$59.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$50.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$50.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$50.74
|
| Rate for Payer: Cigna Commercial |
$99.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.87
|
| Rate for Payer: Oxford Commercial |
$99.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$99.50
|
|
|
NEEDLE CONTRAST 25G 4mm 200cm
|
Facility
|
IP
|
$199.00
|
|
| Hospital Charge Code |
270644054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.85 |
| Max. Negotiated Rate |
$29.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.85
|
|
|
NEEDLE COPE
|
Facility
|
IP
|
$729.65
|
|
| Hospital Charge Code |
2708001448
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$109.45 |
| Max. Negotiated Rate |
$109.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.45
|
|
|
NEEDLE COPE
|
Facility
|
OP
|
$729.65
|
|
| Hospital Charge Code |
2708001448
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$94.85 |
| Max. Negotiated Rate |
$364.82 |
| Rate for Payer: Aetna Commercial |
$218.90
|
| Rate for Payer: Aetna Medicare Advantage |
$218.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$186.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$186.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$186.06
|
| Rate for Payer: Cigna Commercial |
$364.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$94.85
|
| Rate for Payer: Oxford Commercial |
$364.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$364.82
|
|
|
NEEDLE COPE****
|
Facility
|
IP
|
$285.00
|
|
| Hospital Charge Code |
8001448
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$42.75 |
| Max. Negotiated Rate |
$42.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.75
|
|
|
NEEDLE COPE****
|
Facility
|
OP
|
$285.00
|
|
| Hospital Charge Code |
8001448
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$37.05 |
| Max. Negotiated Rate |
$142.50 |
| Rate for Payer: Aetna Commercial |
$85.50
|
| Rate for Payer: Aetna Medicare Advantage |
$85.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$72.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$72.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$72.67
|
| Rate for Payer: Cigna Commercial |
$142.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$37.05
|
| Rate for Payer: Oxford Commercial |
$142.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$142.50
|
|
|
NEEDLE CORE BIOPSY 15CM 500128
|
Facility
|
IP
|
$408.85
|
|
| Hospital Charge Code |
270600455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.33 |
| Max. Negotiated Rate |
$61.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.33
|
|
|
NEEDLE CORE BIOPSY 15CM 500128
|
Facility
|
OP
|
$408.85
|
|
| Hospital Charge Code |
270600455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.15 |
| Max. Negotiated Rate |
$204.43 |
| Rate for Payer: Aetna Commercial |
$122.66
|
| Rate for Payer: Aetna Medicare Advantage |
$122.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$104.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$104.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$104.26
|
| Rate for Payer: Cigna Commercial |
$204.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$53.15
|
| Rate for Payer: Oxford Commercial |
$204.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$204.43
|
|
|
NEEDLE CORE BIOPSY 18G 510-110
|
Facility
|
IP
|
$198.45
|
|
| Hospital Charge Code |
270601245
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.77 |
| Max. Negotiated Rate |
$29.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.77
|
|
|
NEEDLE CORE BIOPSY 18G 510-110
|
Facility
|
OP
|
$198.45
|
|
| Hospital Charge Code |
270601245
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.80 |
| Max. Negotiated Rate |
$99.22 |
| Rate for Payer: Aetna Commercial |
$59.53
|
| Rate for Payer: Aetna Medicare Advantage |
$59.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$50.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$50.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$50.60
|
| Rate for Payer: Cigna Commercial |
$99.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.80
|
| Rate for Payer: Oxford Commercial |
$99.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$99.22
|
|
|
NEEDLECOUNTER *********
|
Facility
|
OP
|
$6.00
|
|
| Hospital Charge Code |
1601160
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.78 |
| Max. Negotiated Rate |
$3.00 |
| Rate for Payer: Aetna Commercial |
$1.80
|
| Rate for Payer: Aetna Medicare Advantage |
$1.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.53
|
| Rate for Payer: Cigna Commercial |
$3.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.78
|
| Rate for Payer: Oxford Commercial |
$3.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.00
|
|
|
NEEDLECOUNTER *********
|
Facility
|
IP
|
$6.00
|
|
| Hospital Charge Code |
1601160
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$0.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.90
|
|
|
NEEDLECOUNTER DISP
|
Facility
|
IP
|
$12.85
|
|
| Hospital Charge Code |
270061040
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.93 |
| Max. Negotiated Rate |
$1.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.93
|
|
|
NEEDLECOUNTER DISP
|
Facility
|
OP
|
$12.85
|
|
| Hospital Charge Code |
270061040
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.67 |
| Max. Negotiated Rate |
$6.42 |
| Rate for Payer: Aetna Commercial |
$3.85
|
| Rate for Payer: Aetna Medicare Advantage |
$3.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.28
|
| Rate for Payer: Cigna Commercial |
$6.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.67
|
| Rate for Payer: Oxford Commercial |
$6.42
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.42
|
|
|
NEEDLE COUNTER STER DISP
|
Facility
|
OP
|
$11.24
|
|
| Hospital Charge Code |
270649421
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.46 |
| Max. Negotiated Rate |
$5.62 |
| Rate for Payer: Aetna Commercial |
$3.37
|
| Rate for Payer: Aetna Medicare Advantage |
$3.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.87
|
| Rate for Payer: Cigna Commercial |
$5.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.46
|
| Rate for Payer: Oxford Commercial |
$5.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.62
|
|
|
NEEDLE COUNTER STER DISP
|
Facility
|
IP
|
$11.24
|
|
| Hospital Charge Code |
270649421
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$1.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.69
|
|
|
NEEDLE COXL INTRODUCR 19X11 4
|
Facility
|
OP
|
$77.50
|
|
| Hospital Charge Code |
270659395
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.07 |
| Max. Negotiated Rate |
$38.75 |
| Rate for Payer: Aetna Commercial |
$23.25
|
| Rate for Payer: Aetna Medicare Advantage |
$23.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.76
|
| Rate for Payer: Cigna Commercial |
$38.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.07
|
| Rate for Payer: Oxford Commercial |
$38.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$38.75
|
|
|
NEEDLE COXL INTRODUCR 19X11 4
|
Facility
|
IP
|
$77.50
|
|
| Hospital Charge Code |
270659395
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.62 |
| Max. Negotiated Rate |
$11.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.62
|
|
|
NEEDLE CURVE AVAFLEX
|
Facility
|
OP
|
$2,250.00
|
|
| Hospital Charge Code |
270692054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$292.50 |
| Max. Negotiated Rate |
$1,125.00 |
| Rate for Payer: Aetna Commercial |
$675.00
|
| Rate for Payer: Aetna Medicare Advantage |
$675.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$573.75
|
| Rate for Payer: Cigna Commercial |
$1,125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$1,125.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,125.00
|
|
|
NEEDLE CURVE AVAFLEX
|
Facility
|
IP
|
$2,250.00
|
|
| Hospital Charge Code |
270692054
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$337.50 |
| Max. Negotiated Rate |
$337.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
|
|
NEEDLE CURVED AVAFLEX BCK9811
|
Facility
|
IP
|
$1,750.00
|
|
| Hospital Charge Code |
270650182
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
NEEDLE CURVED AVAFLEX BCK9811
|
Facility
|
OP
|
$1,750.00
|
|
| Hospital Charge Code |
270650182
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$227.50 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$525.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$227.50
|
| Rate for Payer: Oxford Commercial |
$875.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$875.00
|
|