|
NEEDLE NEURO-TRACE 23G 1-1/2
|
Facility
|
IP
|
$51.65
|
|
| Hospital Charge Code |
270625637
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.75 |
| Max. Negotiated Rate |
$7.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.75
|
|
|
NEEDLE NEURO-TRACE 23G 1-1/2
|
Facility
|
OP
|
$51.65
|
|
| Hospital Charge Code |
270625637
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.71 |
| Max. Negotiated Rate |
$25.82 |
| Rate for Payer: Aetna Commercial |
$15.49
|
| Rate for Payer: Aetna Medicare Advantage |
$15.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.17
|
| Rate for Payer: Cigna Commercial |
$25.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.71
|
| Rate for Payer: Oxford Commercial |
$25.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.82
|
|
|
NEEDLE NVM5 SSEP
|
Facility
|
OP
|
$5,500.00
|
|
| Hospital Charge Code |
270693099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$715.00 |
| Max. Negotiated Rate |
$2,750.00 |
| Rate for Payer: Aetna Commercial |
$1,650.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,650.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,402.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,402.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,402.50
|
| Rate for Payer: Cigna Commercial |
$2,750.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$715.00
|
| Rate for Payer: Oxford Commercial |
$2,750.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$825.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,750.00
|
|
|
NEEDLE NVM5 SSEP
|
Facility
|
IP
|
$5,500.00
|
|
| Hospital Charge Code |
270693099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$825.00 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$825.00
|
|
|
NEEDLE PERCUGUIDE 20G X 7.5 CM
|
Facility
|
OP
|
$120.00
|
|
| Hospital Charge Code |
270331271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$60.00 |
| Rate for Payer: Aetna Commercial |
$36.00
|
| Rate for Payer: Aetna Medicare Advantage |
$36.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.60
|
| Rate for Payer: Cigna Commercial |
$60.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.60
|
| Rate for Payer: Oxford Commercial |
$60.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$60.00
|
|
|
NEEDLE PERCUGUIDE 20G X 7.5 CM
|
Facility
|
IP
|
$120.00
|
|
| Hospital Charge Code |
270331271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.00
|
|
|
NEEDLE PERCUTANEOUS ENTRY 7.0
|
Facility
|
OP
|
$16.80
|
|
| Hospital Charge Code |
270600701
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.18 |
| Max. Negotiated Rate |
$8.40 |
| Rate for Payer: Aetna Commercial |
$5.04
|
| Rate for Payer: Aetna Medicare Advantage |
$5.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.28
|
| Rate for Payer: Cigna Commercial |
$8.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.18
|
| Rate for Payer: Oxford Commercial |
$8.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.52
|
| Rate for Payer: UnitedHealthcare Commercial |
$8.40
|
|
|
NEEDLE PERCUTANEOUS ENTRY 7.0
|
Facility
|
IP
|
$16.80
|
|
| Hospital Charge Code |
270600701
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.52 |
| Max. Negotiated Rate |
$2.52 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.52
|
|
|
NEEDLE PERCUTANEOUS ENTRY 9.0
|
Facility
|
IP
|
$16.45
|
|
| Hospital Charge Code |
270626674
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.47 |
| Max. Negotiated Rate |
$2.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
|
|
NEEDLE PERCUTANEOUS ENTRY 9.0
|
Facility
|
OP
|
$16.45
|
|
| Hospital Charge Code |
270626674
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.14 |
| Max. Negotiated Rate |
$8.22 |
| Rate for Payer: Aetna Commercial |
$4.93
|
| Rate for Payer: Aetna Medicare Advantage |
$4.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.19
|
| Rate for Payer: Cigna Commercial |
$8.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.14
|
| Rate for Payer: Oxford Commercial |
$8.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$8.22
|
|
|
Needle Pleuristik, Nano Fract
|
Facility
|
IP
|
$12,500.00
|
|
| Hospital Charge Code |
270665968
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,875.00 |
| Max. Negotiated Rate |
$1,875.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,875.00
|
|
|
Needle Pleuristik, Nano Fract
|
Facility
|
OP
|
$12,500.00
|
|
| Hospital Charge Code |
270665968
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,625.00 |
| Max. Negotiated Rate |
$6,250.00 |
| Rate for Payer: Aetna Commercial |
$3,750.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,750.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,187.50
|
| Rate for Payer: Cigna Commercial |
$6,250.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,625.00
|
| Rate for Payer: Oxford Commercial |
$6,250.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,875.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$6,250.00
|
|
|
NEEDLE PORT-CATH *******
|
Facility
|
IP
|
$24.00
|
|
| Hospital Charge Code |
8002719
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$3.60 |
| Max. Negotiated Rate |
$3.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.60
|
|
|
NEEDLE PORT-CATH *******
|
Facility
|
OP
|
$24.00
|
|
| Hospital Charge Code |
8002719
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$3.12 |
| Max. Negotiated Rate |
$12.00 |
| Rate for Payer: Aetna Commercial |
$7.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.12
|
| Rate for Payer: Cigna Commercial |
$12.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.12
|
| Rate for Payer: Oxford Commercial |
$12.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.00
|
|
|
NEEDLE PORTCATH 19G 1-25
|
Facility
|
OP
|
$26.45
|
|
| Hospital Charge Code |
270606362
|
|
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
|
|
|
NEEDLE PORTCATH 19G 1-25
|
Facility
|
IP
|
$26.45
|
|
| Hospital Charge Code |
270606362
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.97 |
| Max. Negotiated Rate |
$3.97 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.97
|
|
|
NEEDLE POWERLOC MAX 19GA 1 IN
|
Facility
|
IP
|
$93.46
|
|
| Hospital Charge Code |
270682856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.02 |
| Max. Negotiated Rate |
$14.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
|
|
NEEDLE POWERLOC MAX 19GA 1 IN
|
Facility
|
OP
|
$93.46
|
|
| Hospital Charge Code |
270682856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.15 |
| Max. Negotiated Rate |
$46.73 |
| Rate for Payer: Aetna Commercial |
$28.04
|
| Rate for Payer: Aetna Medicare Advantage |
$28.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.83
|
| Rate for Payer: Cigna Commercial |
$46.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$12.15
|
| Rate for Payer: Oxford Commercial |
$46.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$46.73
|
|
|
NEEDLE PRECISION EPIMED 14G
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270679697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE PRECISION EPIMED 14G
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270679697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.75 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$112.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$48.75
|
| Rate for Payer: Oxford Commercial |
$187.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$187.50
|
|
|
NEEDLE PUNCTURE 2 MM YIP 5 MM
|
Facility
|
IP
|
$491.40
|
|
| Hospital Charge Code |
270691410
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.71 |
| Max. Negotiated Rate |
$73.71 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.71
|
|
|
NEEDLE PUNCTURE 2 MM YIP 5 MM
|
Facility
|
OP
|
$491.40
|
|
| Hospital Charge Code |
270691410
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$63.88 |
| Max. Negotiated Rate |
$245.70 |
| Rate for Payer: Aetna Commercial |
$147.42
|
| Rate for Payer: Aetna Medicare Advantage |
$147.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$125.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$125.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$125.31
|
| Rate for Payer: Cigna Commercial |
$245.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$63.88
|
| Rate for Payer: Oxford Commercial |
$245.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.71
|
| Rate for Payer: UnitedHealthcare Commercial |
$245.70
|
|
|
NEEDLE QUINCKE 20G 8 YELLOW
|
Facility
|
IP
|
$60.45
|
|
| Hospital Charge Code |
270676693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.07 |
| Max. Negotiated Rate |
$9.07 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.07
|
|
|
NEEDLE QUINCKE 20G 8 YELLOW
|
Facility
|
OP
|
$60.45
|
|
| Hospital Charge Code |
270676693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.86 |
| Max. Negotiated Rate |
$30.23 |
| Rate for Payer: Aetna Commercial |
$18.14
|
| Rate for Payer: Aetna Medicare Advantage |
$18.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.41
|
| Rate for Payer: Cigna Commercial |
$30.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.86
|
| Rate for Payer: Oxford Commercial |
$30.23
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.07
|
| Rate for Payer: UnitedHealthcare Commercial |
$30.23
|
|
|
NEEDLE QUINCKE 22G 10 BLK
|
Facility
|
OP
|
$75.75
|
|
| Hospital Charge Code |
270676692
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.85 |
| Max. Negotiated Rate |
$37.88 |
| Rate for Payer: Aetna Commercial |
$22.73
|
| Rate for Payer: Aetna Medicare Advantage |
$22.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.32
|
| Rate for Payer: Cigna Commercial |
$37.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.85
|
| Rate for Payer: Oxford Commercial |
$37.88
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.36
|
| Rate for Payer: UnitedHealthcare Commercial |
$37.88
|
|