|
NEEDLE SLIMLINE 19 GA
|
Facility
|
IP
|
$2,164.27
|
|
| Hospital Charge Code |
270677060
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$324.64 |
| Max. Negotiated Rate |
$324.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
|
|
NEEDLE SLIMLINE 25GA 2.4x1.52
|
Facility
|
OP
|
$1,034.65
|
|
| Hospital Charge Code |
270676158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$134.50 |
| Max. Negotiated Rate |
$517.33 |
| Rate for Payer: Aetna Commercial |
$310.39
|
| Rate for Payer: Aetna Medicare Advantage |
$310.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.84
|
| Rate for Payer: Cigna Commercial |
$517.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$134.50
|
| Rate for Payer: Oxford Commercial |
$517.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$517.33
|
|
|
NEEDLE SLIMLINE 25GA 2.4x1.52
|
Facility
|
IP
|
$1,034.65
|
|
| Hospital Charge Code |
270676158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$155.20 |
| Max. Negotiated Rate |
$155.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.20
|
|
|
NEEDLE SMART VASC ACCESS******
|
Facility
|
IP
|
$219.00
|
|
| Hospital Charge Code |
8003501
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$32.85 |
| Max. Negotiated Rate |
$32.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.85
|
|
|
NEEDLE SMART VASC ACCESS******
|
Facility
|
OP
|
$219.00
|
|
| Hospital Charge Code |
8003501
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$28.47 |
| Max. Negotiated Rate |
$109.50 |
| Rate for Payer: Aetna Commercial |
$65.70
|
| Rate for Payer: Aetna Medicare Advantage |
$65.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$55.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$55.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$55.84
|
| Rate for Payer: Cigna Commercial |
$109.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.47
|
| Rate for Payer: Oxford Commercial |
$109.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$32.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$109.50
|
|
|
NEEDLE SOFT TISSUE BX 20GX10CM
|
Facility
|
IP
|
$193.44
|
|
| Hospital Charge Code |
270660384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.02 |
| Max. Negotiated Rate |
$29.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.02
|
|
|
NEEDLE SOFT TISSUE BX 20GX10CM
|
Facility
|
OP
|
$193.44
|
|
| Hospital Charge Code |
270660384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.15 |
| Max. Negotiated Rate |
$96.72 |
| Rate for Payer: Aetna Commercial |
$58.03
|
| Rate for Payer: Aetna Medicare Advantage |
$58.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.33
|
| Rate for Payer: Cigna Commercial |
$96.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.15
|
| Rate for Payer: Oxford Commercial |
$96.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$96.72
|
|
|
NEEDLE SPINAL 150 CM GUIDEWIRE
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270688729
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE SPINAL 150 CM GUIDEWIRE
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270688729
|
|
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 SPINAL 150MM
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270688486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE SPINAL 150MM
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270688486
|
|
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 SPINAL 18G/3 1/2 IN
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270601192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
|
|
NEEDLE SPINAL 18G/3 1/2 IN
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270601192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$3.80 |
| Rate for Payer: Aetna Commercial |
$2.28
|
| Rate for Payer: Aetna Medicare Advantage |
$2.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.94
|
| Rate for Payer: Cigna Commercial |
$3.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.99
|
| Rate for Payer: Oxford Commercial |
$3.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.80
|
|
|
NEEDLE SPINAL 18G 3 405174
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270649428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$3.80 |
| Rate for Payer: Aetna Commercial |
$2.28
|
| Rate for Payer: Aetna Medicare Advantage |
$2.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.94
|
| Rate for Payer: Cigna Commercial |
$3.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.99
|
| Rate for Payer: Oxford Commercial |
$3.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.80
|
|
|
NEEDLE SPINAL 18G 3 405174
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270649428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
|
|
NEEDLE SPINAL 18G 3 PINK
|
Facility
|
IP
|
$7.07
|
|
| Hospital Charge Code |
270650252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$1.06 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.06
|
|
|
NEEDLE SPINAL 18G 3 PINK
|
Facility
|
OP
|
$7.07
|
|
| Hospital Charge Code |
270650252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.92 |
| Max. Negotiated Rate |
$3.54 |
| Rate for Payer: Aetna Commercial |
$2.12
|
| Rate for Payer: Aetna Medicare Advantage |
$2.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.80
|
| Rate for Payer: Cigna Commercial |
$3.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.92
|
| Rate for Payer: Oxford Commercial |
$3.54
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.06
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.54
|
|
|
NEEDLE SPINAL 18G 6 408360
|
Facility
|
OP
|
$18.36
|
|
| Hospital Charge Code |
270624952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.39 |
| Max. Negotiated Rate |
$9.18 |
| Rate for Payer: Aetna Commercial |
$5.51
|
| Rate for Payer: Aetna Medicare Advantage |
$5.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.68
|
| Rate for Payer: Cigna Commercial |
$9.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.39
|
| Rate for Payer: Oxford Commercial |
$9.18
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.18
|
|
|
NEEDLE SPINAL 18G 6 408360
|
Facility
|
IP
|
$18.36
|
|
| Hospital Charge Code |
270624952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.75 |
| Max. Negotiated Rate |
$2.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.75
|
|
|
NEEDLE SPINAL 18G THINWALL
|
Facility
|
OP
|
$63.25
|
|
| Hospital Charge Code |
270606021
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.22 |
| Max. Negotiated Rate |
$31.62 |
| Rate for Payer: Aetna Commercial |
$18.98
|
| Rate for Payer: Aetna Medicare Advantage |
$18.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.13
|
| Rate for Payer: Cigna Commercial |
$31.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.22
|
| Rate for Payer: Oxford Commercial |
$31.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$31.62
|
|
|
NEEDLE SPINAL 18G THINWALL
|
Facility
|
IP
|
$63.25
|
|
| Hospital Charge Code |
270606021
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.49 |
| Max. Negotiated Rate |
$9.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.49
|
|
|
NEEDLE SPINAL 18Gx180mm
|
Facility
|
IP
|
$85.00
|
|
| Hospital Charge Code |
270674011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$12.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
|
|
NEEDLE SPINAL 18Gx180mm
|
Facility
|
OP
|
$85.00
|
|
| Hospital Charge Code |
270674011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.05 |
| Max. Negotiated Rate |
$42.50 |
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna Medicare Advantage |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.68
|
| Rate for Payer: Cigna Commercial |
$42.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.05
|
| Rate for Payer: Oxford Commercial |
$42.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.50
|
|
|
NEEDLE SPINAL 18G X 3
|
Facility
|
IP
|
$15.00
|
|
| Hospital Charge Code |
270331657
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.25 |
| Max. Negotiated Rate |
$2.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.25
|
|
|
NEEDLE SPINAL 18G X 3
|
Facility
|
OP
|
$15.00
|
|
| Hospital Charge Code |
270331657
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.95 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Aetna Commercial |
$4.50
|
| Rate for Payer: Aetna Medicare Advantage |
$4.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.83
|
| Rate for Payer: Cigna Commercial |
$7.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.95
|
| Rate for Payer: Oxford Commercial |
$7.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.50
|
|