|
NEEDLE QUINCKE 22G 10 BLK
|
Facility
|
IP
|
$75.75
|
|
| Hospital Charge Code |
270676692
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.36 |
| Max. Negotiated Rate |
$11.36 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.36
|
|
|
NEEDLE RADIUM IMPLANT
|
Facility
|
OP
|
$318.00
|
|
| Hospital Charge Code |
270335235
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$47.70 |
| Max. Negotiated Rate |
$159.00 |
| Rate for Payer: Aetna Commercial |
$95.40
|
| Rate for Payer: Aetna Medicare Advantage |
$95.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$63.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.09
|
| Rate for Payer: Cigna Commercial |
$159.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$76.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.70
|
|
|
NEEDLE RADIUM IMPLANT
|
Facility
|
IP
|
$318.00
|
|
| Hospital Charge Code |
270335235
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$47.70 |
| Max. Negotiated Rate |
$76.96 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$63.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$76.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.70
|
|
|
NEEDLE REGANES 18GA X 5 TUOHY
|
Facility
|
IP
|
$45.90
|
|
| Hospital Charge Code |
270657960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.88 |
| Max. Negotiated Rate |
$6.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.88
|
|
|
NEEDLE REGANES 18GA X 5 TUOHY
|
Facility
|
OP
|
$45.90
|
|
| Hospital Charge Code |
270657960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.97 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Medicare Advantage |
$13.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.70
|
| Rate for Payer: Cigna Commercial |
$22.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.97
|
| Rate for Payer: Oxford Commercial |
$22.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$22.95
|
|
|
NEEDLE REG BLK 22x1-1/2 408348
|
Facility
|
IP
|
$10.50
|
|
| Hospital Charge Code |
270620748
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.57 |
| Max. Negotiated Rate |
$1.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.57
|
|
|
NEEDLE REG BLK 22x1-1/2 408348
|
Facility
|
OP
|
$10.50
|
|
| Hospital Charge Code |
270620748
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.36 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Commercial |
$3.15
|
| Rate for Payer: Aetna Medicare Advantage |
$3.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.68
|
| Rate for Payer: Cigna Commercial |
$5.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.36
|
| Rate for Payer: Oxford Commercial |
$5.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.25
|
|
|
NEEDLE RETROBULAR 25G
|
Facility
|
OP
|
$69.00
|
|
| Hospital Charge Code |
270331536
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.97 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Aetna Commercial |
$20.70
|
| Rate for Payer: Aetna Medicare Advantage |
$20.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.59
|
| Rate for Payer: Cigna Commercial |
$34.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.97
|
| Rate for Payer: Oxford Commercial |
$34.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$34.50
|
|
|
NEEDLE RETROBULAR 25G
|
Facility
|
IP
|
$69.00
|
|
| Hospital Charge Code |
270331536
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.35 |
| Max. Negotiated Rate |
$10.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.35
|
|
|
NEEDLE RETROBULBAR
|
Facility
|
IP
|
$23.83
|
|
| Hospital Charge Code |
270658519
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.57 |
| Max. Negotiated Rate |
$3.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.57
|
|
|
NEEDLE RETROBULBAR
|
Facility
|
OP
|
$23.83
|
|
| Hospital Charge Code |
270658519
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.10 |
| Max. Negotiated Rate |
$11.91 |
| Rate for Payer: Aetna Commercial |
$7.15
|
| Rate for Payer: Aetna Medicare Advantage |
$7.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.08
|
| Rate for Payer: Cigna Commercial |
$11.91
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.10
|
| Rate for Payer: Oxford Commercial |
$11.91
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.91
|
|
|
NEEDLE RF 20 10
|
Facility
|
IP
|
$55.00
|
|
| Hospital Charge Code |
270686940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.25 |
| Max. Negotiated Rate |
$8.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.25
|
|
|
NEEDLE RF 20 10
|
Facility
|
OP
|
$55.00
|
|
| Hospital Charge Code |
270686940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.15 |
| Max. Negotiated Rate |
$27.50 |
| Rate for Payer: Aetna Commercial |
$16.50
|
| Rate for Payer: Aetna Medicare Advantage |
$16.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14.03
|
| Rate for Payer: Cigna Commercial |
$27.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.15
|
| Rate for Payer: Oxford Commercial |
$27.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.50
|
|
|
NEEDLE RIDGE 23G
|
Facility
|
IP
|
$247.50
|
|
| Hospital Charge Code |
270677673
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.12 |
| Max. Negotiated Rate |
$37.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.12
|
|
|
NEEDLE RIDGE 23G
|
Facility
|
OP
|
$247.50
|
|
| Hospital Charge Code |
270677673
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.17 |
| Max. Negotiated Rate |
$123.75 |
| Rate for Payer: Aetna Commercial |
$74.25
|
| Rate for Payer: Aetna Medicare Advantage |
$74.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.11
|
| Rate for Payer: Cigna Commercial |
$123.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.17
|
| Rate for Payer: Oxford Commercial |
$123.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$123.75
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
IP
|
$165.00
|
|
| Hospital Charge Code |
270674048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
IP
|
$165.00
|
|
| Hospital Charge Code |
270674048N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
OP
|
$165.00
|
|
| Hospital Charge Code |
270674048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.45 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$49.50
|
| Rate for Payer: Aetna Medicare Advantage |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.08
|
| Rate for Payer: Cigna Commercial |
$82.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.45
|
| Rate for Payer: Oxford Commercial |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$82.50
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
OP
|
$165.00
|
|
| Hospital Charge Code |
270674048N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.45 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$49.50
|
| Rate for Payer: Aetna Medicare Advantage |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.08
|
| Rate for Payer: Cigna Commercial |
$82.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.45
|
| Rate for Payer: Oxford Commercial |
$82.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$82.50
|
|
|
NEEDLE SAF-T WING 21G 3/4
|
Facility
|
IP
|
$126.78
|
|
| Hospital Charge Code |
270649426
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.02 |
| Max. Negotiated Rate |
$19.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.02
|
|
|
NEEDLE SAF-T WING 21G 3/4
|
Facility
|
OP
|
$126.78
|
|
| Hospital Charge Code |
270649426
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.48 |
| Max. Negotiated Rate |
$63.39 |
| Rate for Payer: Aetna Commercial |
$38.03
|
| Rate for Payer: Aetna Medicare Advantage |
$38.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.33
|
| Rate for Payer: Cigna Commercial |
$63.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.48
|
| Rate for Payer: Oxford Commercial |
$63.39
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.39
|
|
|
NEEDLE SAF-T WING 23G 3/4
|
Facility
|
IP
|
$138.50
|
|
| Hospital Charge Code |
270649427
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.77 |
| Max. Negotiated Rate |
$20.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.77
|
|
|
NEEDLE SAF-T WING 23G 3/4
|
Facility
|
OP
|
$138.50
|
|
| Hospital Charge Code |
270649427
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$69.25 |
| Rate for Payer: Aetna Commercial |
$41.55
|
| Rate for Payer: Aetna Medicare Advantage |
$41.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$35.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$35.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$35.32
|
| Rate for Payer: Cigna Commercial |
$69.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.00
|
| Rate for Payer: Oxford Commercial |
$69.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$69.25
|
|
|
NEEDLE SAF-T WING 23G 3/4
|
Facility
|
OP
|
$3.72
|
|
| Hospital Charge Code |
270649642
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$1.86 |
| 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 |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.95
|
| Rate for Payer: Cigna Commercial |
$1.86
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.48
|
| Rate for Payer: Oxford Commercial |
$1.86
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.56
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.86
|
|
|
NEEDLE SAF-T WING 23G 3/4
|
Facility
|
IP
|
$3.72
|
|
| Hospital Charge Code |
270649642
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.56 |
| Max. Negotiated Rate |
$0.56 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.56
|
|