|
NEEDLE MAYO 1/2 CIRC CATGUT #4
|
Facility
|
IP
|
$23.60
|
|
| Hospital Charge Code |
270663269
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.54 |
| Max. Negotiated Rate |
$3.54 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.54
|
|
|
NEEDLE MAYO CATGUT 1/2 CIRCLE
|
Facility
|
OP
|
$2.85
|
|
| Hospital Charge Code |
270629952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$1.43 |
| Rate for Payer: Aetna Commercial |
$0.86
|
| Rate for Payer: Aetna Medicare Advantage |
$0.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.73
|
| Rate for Payer: Cigna Commercial |
$1.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.37
|
| Rate for Payer: Oxford Commercial |
$1.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.43
|
|
|
NEEDLE MAYO CATGUT 1/2 CIRCLE
|
Facility
|
IP
|
$2.85
|
|
| Hospital Charge Code |
270629952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$0.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.43
|
|
|
NEEDLE MAYO CATGUT DISP
|
Facility
|
IP
|
$5.65
|
|
| Hospital Charge Code |
270605370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.85 |
| Max. Negotiated Rate |
$0.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.85
|
|
|
NEEDLE MAYO CATGUT DISP
|
Facility
|
OP
|
$5.65
|
|
| Hospital Charge Code |
270605370
|
|
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 MAYO CATGUT TAPER POINT
|
Facility
|
OP
|
$2.85
|
|
| Hospital Charge Code |
270615594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$1.43 |
| Rate for Payer: Aetna Commercial |
$0.86
|
| Rate for Payer: Aetna Medicare Advantage |
$0.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.73
|
| Rate for Payer: Cigna Commercial |
$1.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.37
|
| Rate for Payer: Oxford Commercial |
$1.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.43
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.43
|
|
|
NEEDLE MAYO CATGUT TAPER POINT
|
Facility
|
IP
|
$2.85
|
|
| Hospital Charge Code |
270615594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$0.43 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.43
|
|
|
NEEDLE MCV CONTRAST 23G 1815
|
Facility
|
IP
|
$275.25
|
|
| Hospital Charge Code |
270627934
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.29 |
| Max. Negotiated Rate |
$41.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.29
|
|
|
NEEDLE MCV CONTRAST 23G 1815
|
Facility
|
OP
|
$275.25
|
|
| Hospital Charge Code |
270627934
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.78 |
| Max. Negotiated Rate |
$137.62 |
| Rate for Payer: Aetna Commercial |
$82.58
|
| Rate for Payer: Aetna Medicare Advantage |
$82.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.19
|
| Rate for Payer: Cigna Commercial |
$137.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.78
|
| Rate for Payer: Oxford Commercial |
$137.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$137.62
|
|
|
NEEDLE MCV DURASPHERE 890-204
|
Facility
|
IP
|
$109.20
|
|
| Hospital Charge Code |
270627960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.38 |
| Max. Negotiated Rate |
$16.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.38
|
|
|
NEEDLE MCV DURASPHERE 890-204
|
Facility
|
OP
|
$109.20
|
|
| Hospital Charge Code |
270627960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.20 |
| Max. Negotiated Rate |
$54.60 |
| Rate for Payer: Aetna Commercial |
$32.76
|
| Rate for Payer: Aetna Medicare Advantage |
$32.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$27.85
|
| Rate for Payer: Cigna Commercial |
$54.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.20
|
| Rate for Payer: Oxford Commercial |
$54.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$54.60
|
|
|
NEEDLE MCV DURASPHERE 890-205
|
Facility
|
OP
|
$109.20
|
|
| Hospital Charge Code |
270629270
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.20 |
| Max. Negotiated Rate |
$54.60 |
| Rate for Payer: Aetna Commercial |
$32.76
|
| Rate for Payer: Aetna Medicare Advantage |
$32.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$27.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$27.85
|
| Rate for Payer: Cigna Commercial |
$54.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.20
|
| Rate for Payer: Oxford Commercial |
$54.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$54.60
|
|
|
NEEDLE MCV DURASPHERE 890-205
|
Facility
|
IP
|
$109.20
|
|
| Hospital Charge Code |
270629270
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.38 |
| Max. Negotiated Rate |
$16.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.38
|
|
|
NEEDLE MENGHINI
|
Facility
|
IP
|
$729.65
|
|
| Hospital Charge Code |
2708001455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$109.45 |
| Max. Negotiated Rate |
$109.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$109.45
|
|
|
NEEDLE MENGHINI
|
Facility
|
OP
|
$729.65
|
|
| Hospital Charge Code |
2708001455
|
|
Hospital Revenue Code
|
272
|
| 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 MENISCAL 2-0
|
Facility
|
OP
|
$360.00
|
|
| Hospital Charge Code |
270652729
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.80 |
| Max. Negotiated Rate |
$180.00 |
| Rate for Payer: Aetna Commercial |
$108.00
|
| Rate for Payer: Aetna Medicare Advantage |
$108.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$91.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$91.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$91.80
|
| Rate for Payer: Cigna Commercial |
$180.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$46.80
|
| Rate for Payer: Oxford Commercial |
$180.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$180.00
|
|
|
NEEDLE MENISCAL 2-0
|
Facility
|
IP
|
$360.00
|
|
| Hospital Charge Code |
270652729
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.00 |
| Max. Negotiated Rate |
$54.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$54.00
|
|
|
NEEDLE MINI SCORPION DX
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
27065634
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE MINI SCORPION DX
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
27065634
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$256.75 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$592.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$256.75
|
| Rate for Payer: Oxford Commercial |
$987.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$987.50
|
|
|
NEEDLE MONO 410 25G 401031
|
Facility
|
OP
|
$80.85
|
|
| Hospital Charge Code |
270605537
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.51 |
| Max. Negotiated Rate |
$40.42 |
| Rate for Payer: Aetna Commercial |
$24.25
|
| Rate for Payer: Aetna Medicare Advantage |
$24.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$20.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$20.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$20.62
|
| Rate for Payer: Cigna Commercial |
$40.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.51
|
| Rate for Payer: Oxford Commercial |
$40.42
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.13
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.42
|
|
|
NEEDLE MONO 410 25G 401031
|
Facility
|
IP
|
$80.85
|
|
| Hospital Charge Code |
270605537
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.13 |
| Max. Negotiated Rate |
$12.13 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.13
|
|
|
NEEDLE MULTIFIRE SCORPIAN
|
Facility
|
OP
|
$850.00
|
|
| Hospital Charge Code |
270664265
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$110.50 |
| Max. Negotiated Rate |
$425.00 |
| Rate for Payer: Aetna Commercial |
$255.00
|
| Rate for Payer: Aetna Medicare Advantage |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216.75
|
| Rate for Payer: Cigna Commercial |
$425.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$110.50
|
| Rate for Payer: Oxford Commercial |
$425.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$425.00
|
|
|
NEEDLE MULTIFIRE SCORPIAN
|
Facility
|
IP
|
$850.00
|
|
| Hospital Charge Code |
270664265
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$127.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
|
|
NEEDLE NEONAT LMBR PNCT 25G 1
|
Facility
|
IP
|
$26.45
|
|
| Hospital Charge Code |
270600491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.97 |
| Max. Negotiated Rate |
$3.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.97
|
|
|
NEEDLE NEONAT LMBR PNCT 25G 1
|
Facility
|
OP
|
$26.45
|
|
| Hospital Charge Code |
270600491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.44 |
| Max. Negotiated Rate |
$13.22 |
| Rate for Payer: Aetna Commercial |
$7.93
|
| Rate for Payer: Aetna Medicare Advantage |
$7.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.74
|
| Rate for Payer: Cigna Commercial |
$13.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.44
|
| Rate for Payer: Oxford Commercial |
$13.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.22
|
|