|
NEEDLE CURVED TIP 14GA 355014
|
Facility
|
IP
|
$223.25
|
|
| Hospital Charge Code |
270631619
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.49 |
| Max. Negotiated Rate |
$33.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.49
|
|
|
NEEDLE CURVED TIP 14GA 355014
|
Facility
|
OP
|
$223.25
|
|
| Hospital Charge Code |
270631619
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.02 |
| Max. Negotiated Rate |
$111.62 |
| Rate for Payer: Aetna Commercial |
$66.97
|
| Rate for Payer: Aetna Medicare Advantage |
$66.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$56.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$56.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$56.93
|
| Rate for Payer: Cigna Commercial |
$111.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$29.02
|
| Rate for Payer: Oxford Commercial |
$111.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$111.62
|
|
|
NEEDLE CURVED TOUHY
|
Facility
|
IP
|
$670.00
|
|
| Hospital Charge Code |
270654987
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$100.50 |
| Max. Negotiated Rate |
$100.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.50
|
|
|
NEEDLE CURVED TOUHY
|
Facility
|
OP
|
$670.00
|
|
| Hospital Charge Code |
270654987
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.10 |
| Max. Negotiated Rate |
$335.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.50
|
| Rate for Payer: Aetna Commercial |
$201.00
|
| Rate for Payer: Aetna Medicare Advantage |
$201.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$170.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$170.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$170.85
|
| Rate for Payer: Cigna Commercial |
$335.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.10
|
| Rate for Payer: Oxford Commercial |
$335.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$335.00
|
|
|
NEEDLE CURVTEK LG 40-0001
|
Facility
|
IP
|
$19.25
|
|
| Hospital Charge Code |
270613471
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.89 |
| Max. Negotiated Rate |
$2.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.89
|
|
|
NEEDLE CURVTEK LG 40-0001
|
Facility
|
OP
|
$19.25
|
|
| Hospital Charge Code |
270613471
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.50 |
| Max. Negotiated Rate |
$9.62 |
| Rate for Payer: Aetna Commercial |
$5.78
|
| Rate for Payer: Aetna Medicare Advantage |
$5.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.91
|
| Rate for Payer: Cigna Commercial |
$9.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.50
|
| Rate for Payer: Oxford Commercial |
$9.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.62
|
|
|
NEEDLE CUTTING .067X2.953
|
Facility
|
OP
|
$22.90
|
|
| Hospital Charge Code |
270669503
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.98 |
| Max. Negotiated Rate |
$11.45 |
| Rate for Payer: Aetna Commercial |
$6.87
|
| Rate for Payer: Aetna Medicare Advantage |
$6.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.84
|
| Rate for Payer: Cigna Commercial |
$11.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.98
|
| Rate for Payer: Oxford Commercial |
$11.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.45
|
|
|
NEEDLE CUTTING .067X2.953
|
Facility
|
IP
|
$22.90
|
|
| Hospital Charge Code |
270669503
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.44 |
| Max. Negotiated Rate |
$3.44 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.44
|
|
|
NEEDLE CYSTOTOME IRRIGATING
|
Facility
|
OP
|
$21.58
|
|
| Hospital Charge Code |
270651663
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.81 |
| Max. Negotiated Rate |
$10.79 |
| Rate for Payer: Aetna Commercial |
$6.47
|
| Rate for Payer: Aetna Medicare Advantage |
$6.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.50
|
| Rate for Payer: Cigna Commercial |
$10.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.81
|
| Rate for Payer: Oxford Commercial |
$10.79
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.79
|
|
|
NEEDLE CYSTOTOME IRRIGATING
|
Facility
|
IP
|
$21.58
|
|
| Hospital Charge Code |
270651663
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.24 |
| Max. Negotiated Rate |
$3.24 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.24
|
|
|
NEEDLE DEBAKEY HEPARIN SML
|
Facility
|
OP
|
$675.00
|
|
| Hospital Charge Code |
270656645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.75 |
| Max. Negotiated Rate |
$337.50 |
| Rate for Payer: Aetna Commercial |
$202.50
|
| Rate for Payer: Aetna Medicare Advantage |
$202.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$172.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$172.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$172.12
|
| Rate for Payer: Cigna Commercial |
$337.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$87.75
|
| Rate for Payer: Oxford Commercial |
$337.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$101.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$337.50
|
|
|
NEEDLE DEBAKEY HEPARIN SML
|
Facility
|
IP
|
$675.00
|
|
| Hospital Charge Code |
270656645
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$101.25 |
| Max. Negotiated Rate |
$101.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$101.25
|
|
|
NEEDLE DELIVERY 10GAx10CM STER
|
Facility
|
OP
|
$200.51
|
|
| Hospital Charge Code |
270676234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.07 |
| Max. Negotiated Rate |
$100.25 |
| Rate for Payer: Aetna Commercial |
$60.15
|
| Rate for Payer: Aetna Medicare Advantage |
$60.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.13
|
| Rate for Payer: Cigna Commercial |
$100.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.07
|
| Rate for Payer: Oxford Commercial |
$100.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$100.25
|
|
|
NEEDLE DELIVERY 10GAx10CM STER
|
Facility
|
IP
|
$200.51
|
|
| Hospital Charge Code |
270676234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.08 |
| Max. Negotiated Rate |
$30.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
|
|
NEEDLE DELIVERY 12G 10CM
|
Facility
|
OP
|
$200.51
|
|
| Hospital Charge Code |
270649694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.07 |
| Max. Negotiated Rate |
$100.25 |
| Rate for Payer: Aetna Commercial |
$60.15
|
| Rate for Payer: Aetna Medicare Advantage |
$60.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.13
|
| Rate for Payer: Cigna Commercial |
$100.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.07
|
| Rate for Payer: Oxford Commercial |
$100.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$100.25
|
|
|
NEEDLE DELIVERY 12G 10CM
|
Facility
|
IP
|
$200.51
|
|
| Hospital Charge Code |
270649694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.08 |
| Max. Negotiated Rate |
$30.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
|
|
NEEDLE DELIVERY 12G 10cm CVD
|
Facility
|
OP
|
$973.35
|
|
| Hospital Charge Code |
270647564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$126.54 |
| Max. Negotiated Rate |
$486.68 |
| Rate for Payer: Aetna Commercial |
$292.00
|
| Rate for Payer: Aetna Medicare Advantage |
$292.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.20
|
| Rate for Payer: Cigna Commercial |
$486.68
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$126.54
|
| Rate for Payer: Oxford Commercial |
$486.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$486.68
|
|
|
NEEDLE DELIVERY 12G 10cm CVD
|
Facility
|
IP
|
$973.35
|
|
| Hospital Charge Code |
270647564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.00 |
| Max. Negotiated Rate |
$146.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.00
|
|
|
NEEDLE DIATHERMIC CUTTER***
|
Facility
|
OP
|
$940.00
|
|
| Hospital Charge Code |
2300853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$122.20 |
| Max. Negotiated Rate |
$470.00 |
| Rate for Payer: Aetna Commercial |
$282.00
|
| Rate for Payer: Aetna Medicare Advantage |
$282.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$239.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$239.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$239.70
|
| Rate for Payer: Cigna Commercial |
$470.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$122.20
|
| Rate for Payer: Oxford Commercial |
$470.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$141.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$470.00
|
|
|
NEEDLE DIATHERMIC CUTTER***
|
Facility
|
IP
|
$940.00
|
|
| Hospital Charge Code |
2300853
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$141.00 |
| Max. Negotiated Rate |
$141.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$141.00
|
|
|
NEEDLE DISP MAYO CATGUT****
|
Facility
|
OP
|
$2.14
|
|
| Hospital Charge Code |
270620425
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$1.07 |
| Rate for Payer: Aetna Commercial |
$0.64
|
| Rate for Payer: Aetna Medicare Advantage |
$0.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$0.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.55
|
| Rate for Payer: Cigna Commercial |
$1.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.32
|
|
|
NEEDLE DISP MAYO CATGUT****
|
Facility
|
IP
|
$2.14
|
|
| Hospital Charge Code |
270620425
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$0.52 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$0.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.32
|
|
|
NEEDLE DRIVER LARGE SUTURE CUT
|
Facility
|
IP
|
$12,000.00
|
|
| Hospital Charge Code |
270663982
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,800.00 |
| Max. Negotiated Rate |
$1,800.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,800.00
|
|
|
NEEDLE DRIVER LARGE SUTURE CUT
|
Facility
|
OP
|
$12,000.00
|
|
| Hospital Charge Code |
270663982
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,560.00 |
| Max. Negotiated Rate |
$6,000.00 |
| Rate for Payer: Aetna Commercial |
$3,600.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,600.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,060.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,060.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,060.00
|
| Rate for Payer: Cigna Commercial |
$6,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,560.00
|
| Rate for Payer: Oxford Commercial |
$6,000.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,800.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$6,000.00
|
|
|
NEEDLE ECHO BRIGHT 22G STIMULA
|
Facility
|
IP
|
$68.50
|
|
| Hospital Charge Code |
270676894
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.28 |
| Max. Negotiated Rate |
$10.28 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.28
|
|