|
NEEDLE ELECTROSURGICAL
|
Facility
|
OP
|
$92.00
|
|
| Hospital Charge Code |
270331274
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.96 |
| Max. Negotiated Rate |
$46.00 |
| Rate for Payer: Aetna Commercial |
$27.60
|
| Rate for Payer: Aetna Medicare Advantage |
$27.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.46
|
| Rate for Payer: Cigna Commercial |
$46.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.96
|
| Rate for Payer: Oxford Commercial |
$46.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$46.00
|
|
|
NEEDLE ELECTROSURGICAL
|
Facility
|
IP
|
$92.00
|
|
| Hospital Charge Code |
270331274
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.80 |
| Max. Negotiated Rate |
$13.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
|
|
NEEDLE ENDOPATH ULTRAVERES 120
|
Facility
|
OP
|
$71.30
|
|
| Hospital Charge Code |
270672240
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.27 |
| Max. Negotiated Rate |
$35.65 |
| Rate for Payer: Aetna Commercial |
$21.39
|
| Rate for Payer: Aetna Medicare Advantage |
$21.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.18
|
| Rate for Payer: Cigna Commercial |
$35.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.27
|
| Rate for Payer: Oxford Commercial |
$35.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$35.65
|
|
|
NEEDLE ENDOPATH ULTRAVERES 120
|
Facility
|
IP
|
$71.30
|
|
| Hospital Charge Code |
270672240
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.70 |
| Max. Negotiated Rate |
$10.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.70
|
|
|
NEEDLE ENDO US 22G 140CM EUSN1
|
Facility
|
IP
|
$1,035.25
|
|
| Hospital Charge Code |
270617523
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$155.29 |
| Max. Negotiated Rate |
$155.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.29
|
|
|
NEEDLE ENDO US 22G 140CM EUSN1
|
Facility
|
OP
|
$1,035.25
|
|
| Hospital Charge Code |
270617523
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$134.58 |
| Max. Negotiated Rate |
$517.62 |
| Rate for Payer: Aetna Commercial |
$310.57
|
| Rate for Payer: Aetna Medicare Advantage |
$310.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.99
|
| Rate for Payer: Cigna Commercial |
$517.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$134.58
|
| Rate for Payer: Oxford Commercial |
$517.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$517.62
|
|
|
NEEDLE EPDRL18X3.5 TUHY 332166
|
Facility
|
OP
|
$36.50
|
|
| Hospital Charge Code |
270639236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.75 |
| Max. Negotiated Rate |
$18.25 |
| Rate for Payer: Aetna Commercial |
$10.95
|
| Rate for Payer: Aetna Medicare Advantage |
$10.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.31
|
| Rate for Payer: Cigna Commercial |
$18.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.75
|
| Rate for Payer: Oxford Commercial |
$18.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.25
|
|
|
NEEDLE EPDRL18X3.5 TUHY 332166
|
Facility
|
IP
|
$36.50
|
|
| Hospital Charge Code |
270639236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.47 |
| Max. Negotiated Rate |
$5.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.47
|
|
|
NEEDLE EPIDIDURAL TOUHG 20X6
|
Facility
|
IP
|
$40.82
|
|
| Hospital Charge Code |
270670775
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.12 |
| Max. Negotiated Rate |
$6.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.12
|
|
|
NEEDLE EPIDIDURAL TOUHG 20X6
|
Facility
|
OP
|
$40.82
|
|
| Hospital Charge Code |
270670775
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.31 |
| Max. Negotiated Rate |
$20.41 |
| Rate for Payer: Aetna Commercial |
$12.25
|
| Rate for Payer: Aetna Medicare Advantage |
$12.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.41
|
| Rate for Payer: Cigna Commercial |
$20.41
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.31
|
| Rate for Payer: Oxford Commercial |
$20.41
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$20.41
|
|
|
NEEDLE EPIDURAL 14GAx6 1116
|
Facility
|
OP
|
$300.00
|
|
| Hospital Charge Code |
270654461
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Aetna Commercial |
$90.00
|
| Rate for Payer: Aetna Medicare Advantage |
$90.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.50
|
| Rate for Payer: Cigna Commercial |
$150.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.00
|
| Rate for Payer: Oxford Commercial |
$150.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$150.00
|
|
|
NEEDLE EPIDURAL 14GAx6 1116
|
Facility
|
IP
|
$300.00
|
|
| Hospital Charge Code |
270654461
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.00 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.00
|
|
|
NEEDLE EPIDURAL TUOHY 20Gx3.5
|
Facility
|
IP
|
$77.64
|
|
| Hospital Charge Code |
270674280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.65 |
| Max. Negotiated Rate |
$11.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.65
|
|
|
NEEDLE EPIDURAL TUOHY 20Gx3.5
|
Facility
|
OP
|
$77.64
|
|
| Hospital Charge Code |
270674280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.09 |
| Max. Negotiated Rate |
$38.82 |
| Rate for Payer: Aetna Commercial |
$23.29
|
| Rate for Payer: Aetna Medicare Advantage |
$23.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.80
|
| Rate for Payer: Cigna Commercial |
$38.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.09
|
| Rate for Payer: Oxford Commercial |
$38.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$38.82
|
|
|
NEEDLE EXPRESS SEW 214001
|
Facility
|
IP
|
$584.00
|
|
| Hospital Charge Code |
270638182
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$87.60 |
| Max. Negotiated Rate |
$87.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$87.60
|
|
|
NEEDLE EXPRESS SEW 214001
|
Facility
|
OP
|
$584.00
|
|
| Hospital Charge Code |
270638182
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$75.92 |
| Max. Negotiated Rate |
$292.00 |
| Rate for Payer: Aetna Commercial |
$175.20
|
| Rate for Payer: Aetna Medicare Advantage |
$175.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$148.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$148.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$148.92
|
| Rate for Payer: Cigna Commercial |
$292.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$75.92
|
| Rate for Payer: Oxford Commercial |
$292.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$87.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$292.00
|
|
|
NEEDLE EXPRESS SEW 2 214005
|
Facility
|
OP
|
$3,125.00
|
|
| Hospital Charge Code |
270640463
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$406.25 |
| Max. Negotiated Rate |
$1,562.50 |
| Rate for Payer: Aetna Commercial |
$937.50
|
| Rate for Payer: Aetna Medicare Advantage |
$937.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$796.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$796.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$796.88
|
| Rate for Payer: Cigna Commercial |
$1,562.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$406.25
|
| Rate for Payer: Oxford Commercial |
$1,562.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$468.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,562.50
|
|
|
NEEDLE EXPRESS SEW 2 214005
|
Facility
|
IP
|
$3,125.00
|
|
| Hospital Charge Code |
270640463
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$468.75 |
| Max. Negotiated Rate |
$468.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$468.75
|
|
|
NEEDLE EXPRESS SEW FLEX
|
Facility
|
OP
|
$193.00
|
|
| Hospital Charge Code |
270659473
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.09 |
| Max. Negotiated Rate |
$96.50 |
| Rate for Payer: Aetna Commercial |
$57.90
|
| Rate for Payer: Aetna Medicare Advantage |
$57.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.22
|
| Rate for Payer: Cigna Commercial |
$96.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.09
|
| Rate for Payer: Oxford Commercial |
$96.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$96.50
|
|
|
NEEDLE EXPRESS SEW FLEX
|
Facility
|
IP
|
$193.00
|
|
| Hospital Charge Code |
270659473
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$28.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.95
|
|
|
NEEDLE FERGUSON 1/2-CIRCLE
|
Facility
|
IP
|
$3.75
|
|
| Hospital Charge Code |
270616839
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.56 |
| Max. Negotiated Rate |
$0.56 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.56
|
|
|
NEEDLE FERGUSON 1/2-CIRCLE
|
Facility
|
OP
|
$3.75
|
|
| Hospital Charge Code |
270616839
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.49 |
| Max. Negotiated Rate |
$1.88 |
| Rate for Payer: Aetna Commercial |
$1.12
|
| Rate for Payer: Aetna Medicare Advantage |
$1.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.96
|
| Rate for Payer: Cigna Commercial |
$1.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.49
|
| Rate for Payer: Oxford Commercial |
$1.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.88
|
|
|
NEEDLE FILTER 18G 1-1/2
|
Facility
|
OP
|
$86.00
|
|
| Hospital Charge Code |
270649419
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.18 |
| Max. Negotiated Rate |
$43.00 |
| Rate for Payer: Aetna Commercial |
$25.80
|
| Rate for Payer: Aetna Medicare Advantage |
$25.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.93
|
| Rate for Payer: Cigna Commercial |
$43.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.18
|
| Rate for Payer: Oxford Commercial |
$43.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$43.00
|
|
|
NEEDLE FILTER 18G 1-1/2
|
Facility
|
IP
|
$86.00
|
|
| Hospital Charge Code |
270649419
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.90 |
| Max. Negotiated Rate |
$12.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.90
|
|
|
NEEDLE FISTULA 15G 1-1/4
|
Facility
|
IP
|
$2.10
|
|
| Hospital Charge Code |
270636886
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$0.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.32
|
|