|
NEEDLE INSUFLATION 120MM
|
Facility
|
OP
|
$59.66
|
|
| Hospital Charge Code |
27065600
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.76 |
| Max. Negotiated Rate |
$29.83 |
| Rate for Payer: Aetna Commercial |
$17.90
|
| Rate for Payer: Aetna Medicare Advantage |
$17.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.21
|
| Rate for Payer: Cigna Commercial |
$29.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.76
|
| Rate for Payer: Oxford Commercial |
$29.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$29.83
|
|
|
NEEDLE INSUFLATION/ACCESS 14G
|
Facility
|
IP
|
$159.28
|
|
| Hospital Charge Code |
270624149
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.89 |
| Max. Negotiated Rate |
$23.89 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.89
|
|
|
NEEDLE INSUFLATION/ACCESS 14G
|
Facility
|
OP
|
$159.28
|
|
| Hospital Charge Code |
270624149
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.71 |
| Max. Negotiated Rate |
$79.64 |
| Rate for Payer: Aetna Commercial |
$47.78
|
| Rate for Payer: Aetna Medicare Advantage |
$47.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$40.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$40.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$40.62
|
| Rate for Payer: Cigna Commercial |
$79.64
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.71
|
| Rate for Payer: Oxford Commercial |
$79.64
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.89
|
| Rate for Payer: UnitedHealthcare Commercial |
$79.64
|
|
|
NEEDLE INSULATED STIMUPLEX
|
Facility
|
IP
|
$87.00
|
|
| Hospital Charge Code |
270335301
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.05 |
| Max. Negotiated Rate |
$13.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.05
|
|
|
NEEDLE INSULATED STIMUPLEX
|
Facility
|
OP
|
$87.00
|
|
| Hospital Charge Code |
270335301
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.31 |
| Max. Negotiated Rate |
$43.50 |
| Rate for Payer: Aetna Commercial |
$26.10
|
| Rate for Payer: Aetna Medicare Advantage |
$26.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$22.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$22.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$22.18
|
| Rate for Payer: Cigna Commercial |
$43.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.31
|
| Rate for Payer: Oxford Commercial |
$43.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$43.50
|
|
|
NEEDLE INTESTNL ANCHOR SZ4
|
Facility
|
OP
|
$24.15
|
|
| Hospital Charge Code |
270657336
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.14 |
| Max. Negotiated Rate |
$12.07 |
| Rate for Payer: Aetna Commercial |
$7.25
|
| Rate for Payer: Aetna Medicare Advantage |
$7.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.16
|
| Rate for Payer: Cigna Commercial |
$12.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.14
|
| Rate for Payer: Oxford Commercial |
$12.07
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.07
|
|
|
NEEDLE INTESTNL ANCHOR SZ4
|
Facility
|
IP
|
$24.15
|
|
| Hospital Charge Code |
270657336
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.62 |
| Max. Negotiated Rate |
$3.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.62
|
|
|
NEEDLE INTRAOSS DISP*******
|
Facility
|
IP
|
$90.00
|
|
| Hospital Charge Code |
8003618
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.50 |
| Max. Negotiated Rate |
$13.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.50
|
|
|
NEEDLE INTRAOSS DISP*******
|
Facility
|
OP
|
$90.00
|
|
| Hospital Charge Code |
8003618
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.70 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Aetna Commercial |
$27.00
|
| Rate for Payer: Aetna Medicare Advantage |
$27.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$22.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$22.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$22.95
|
| Rate for Payer: Cigna Commercial |
$45.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.70
|
| Rate for Payer: Oxford Commercial |
$45.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.00
|
|
|
NEEDLE INTRAOSS DISP COOK
|
Facility
|
IP
|
$161.65
|
|
| Hospital Charge Code |
270607737
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.25 |
| Max. Negotiated Rate |
$24.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.25
|
|
|
NEEDLE INTRAOSS DISP COOK
|
Facility
|
OP
|
$161.65
|
|
| Hospital Charge Code |
270607737
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.01 |
| Max. Negotiated Rate |
$80.83 |
| Rate for Payer: Aetna Commercial |
$48.49
|
| Rate for Payer: Aetna Medicare Advantage |
$48.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$41.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$41.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$41.22
|
| Rate for Payer: Cigna Commercial |
$80.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.01
|
| Rate for Payer: Oxford Commercial |
$80.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$80.83
|
|
|
NEEDLE INTRAVENOUS 18G X 1 1/4
|
Facility
|
OP
|
$235.00
|
|
| Hospital Charge Code |
270331872
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.55 |
| Max. Negotiated Rate |
$117.50 |
| Rate for Payer: Aetna Commercial |
$70.50
|
| Rate for Payer: Aetna Medicare Advantage |
$70.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$59.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$59.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$59.92
|
| Rate for Payer: Cigna Commercial |
$117.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.55
|
| Rate for Payer: Oxford Commercial |
$117.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$35.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$117.50
|
|
|
NEEDLE INTRAVENOUS 18G X 1 1/4
|
Facility
|
IP
|
$235.00
|
|
| Hospital Charge Code |
270331872
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.25 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$35.25
|
|
|
NEEDLE INTROD 13G BEVEL306-131
|
Facility
|
OP
|
$250.00
|
|
| Hospital Charge Code |
270644263
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$125.00 |
| Rate for Payer: Aetna Commercial |
$75.00
|
| Rate for Payer: Aetna Medicare Advantage |
$75.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.75
|
| Rate for Payer: Cigna Commercial |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.50
|
| Rate for Payer: Oxford Commercial |
$125.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$125.00
|
|
|
NEEDLE INTROD 13G BEVEL306-131
|
Facility
|
IP
|
$250.00
|
|
| Hospital Charge Code |
270644263
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.50 |
| Max. Negotiated Rate |
$37.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
|
|
NEEDLE INTRODUCER 17GA 7209601
|
Facility
|
IP
|
$299.00
|
|
| Hospital Charge Code |
270640710
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.85 |
| Max. Negotiated Rate |
$44.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$44.85
|
|
|
NEEDLE INTRODUCER 17GA 7209601
|
Facility
|
OP
|
$299.00
|
|
| Hospital Charge Code |
270640710
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$38.87 |
| Max. Negotiated Rate |
$149.50 |
| Rate for Payer: Aetna Commercial |
$89.70
|
| Rate for Payer: Aetna Medicare Advantage |
$89.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.25
|
| Rate for Payer: Cigna Commercial |
$149.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$38.87
|
| Rate for Payer: Oxford Commercial |
$149.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$44.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$149.50
|
|
|
NEEDLE INTRODUCTION 13G
|
Facility
|
OP
|
$250.00
|
|
| Hospital Charge Code |
270641892
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$125.00 |
| Rate for Payer: Aetna Commercial |
$75.00
|
| Rate for Payer: Aetna Medicare Advantage |
$75.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.75
|
| Rate for Payer: Cigna Commercial |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.50
|
| Rate for Payer: Oxford Commercial |
$125.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$125.00
|
|
|
NEEDLE INTRODUCTION 13G
|
Facility
|
IP
|
$250.00
|
|
| Hospital Charge Code |
270641892
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.50 |
| Max. Negotiated Rate |
$37.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
|
|
NEEDLE JAMSHIDI****
|
Facility
|
IP
|
$314.00
|
|
| Hospital Charge Code |
8001497
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$47.10 |
| Max. Negotiated Rate |
$47.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.10
|
|
|
NEEDLE JAMSHIDI****
|
Facility
|
OP
|
$314.00
|
|
| Hospital Charge Code |
8001497
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$40.82 |
| Max. Negotiated Rate |
$157.00 |
| Rate for Payer: Aetna Commercial |
$94.20
|
| Rate for Payer: Aetna Medicare Advantage |
$94.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$80.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$80.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$80.07
|
| Rate for Payer: Cigna Commercial |
$157.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$40.82
|
| Rate for Payer: Oxford Commercial |
$157.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$157.00
|
|
|
NEEDLE JAMSHIDI 11G
|
Facility
|
OP
|
$180.00
|
|
| Hospital Charge Code |
270677235
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.40 |
| Max. Negotiated Rate |
$90.00 |
| Rate for Payer: Aetna Commercial |
$54.00
|
| Rate for Payer: Aetna Medicare Advantage |
$54.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$45.90
|
| Rate for Payer: Cigna Commercial |
$90.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$23.40
|
| Rate for Payer: Oxford Commercial |
$90.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$27.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.00
|
|
|
NEEDLE JAMSHIDI 11G
|
Facility
|
IP
|
$180.00
|
|
| Hospital Charge Code |
270677235
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$27.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$27.00
|
|
|
NEEDLE JAMSHIDI 74066-15M
|
Facility
|
IP
|
$1,000.00
|
|
| Hospital Charge Code |
270698049
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
|
|
NEEDLE JAMSHIDI 74066-15M
|
Facility
|
OP
|
$1,000.00
|
|
| Hospital Charge Code |
270698049
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$130.00 |
| Max. Negotiated Rate |
$500.00 |
| Rate for Payer: Aetna Commercial |
$300.00
|
| Rate for Payer: Aetna Medicare Advantage |
$300.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$255.00
|
| Rate for Payer: Cigna Commercial |
$500.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$130.00
|
| Rate for Payer: Oxford Commercial |
$500.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$150.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$500.00
|
|