|
NEEDLE SPINAL QUINCKE 22G 7
|
Facility
|
IP
|
$19.63
|
|
| Hospital Charge Code |
270613638
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.94 |
| Max. Negotiated Rate |
$2.94 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.94
|
|
|
NEEDLE SPINAL QUINCKE 22G 7
|
Facility
|
OP
|
$19.63
|
|
| Hospital Charge Code |
270613638
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.55 |
| Max. Negotiated Rate |
$9.81 |
| Rate for Payer: Aetna Commercial |
$5.89
|
| Rate for Payer: Aetna Medicare Advantage |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.01
|
| Rate for Payer: Cigna Commercial |
$9.81
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.55
|
| Rate for Payer: Oxford Commercial |
$9.81
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.81
|
|
|
NEEDLE SPINAL WHITACRE
|
Facility
|
OP
|
$35.35
|
|
| Hospital Charge Code |
270658893
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.60 |
| Max. Negotiated Rate |
$17.68 |
| Rate for Payer: Aetna Commercial |
$10.61
|
| Rate for Payer: Aetna Medicare Advantage |
$10.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.01
|
| Rate for Payer: Cigna Commercial |
$17.68
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.60
|
| Rate for Payer: Oxford Commercial |
$17.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.68
|
|
|
NEEDLE SPINAL WHITACRE
|
Facility
|
IP
|
$35.35
|
|
| Hospital Charge Code |
270658893
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.30 |
| Max. Negotiated Rate |
$5.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.30
|
|
|
NEEDLE SPINE STRL 22 X 3 1/2
|
Facility
|
OP
|
$6.74
|
|
| Hospital Charge Code |
27020065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.88 |
| Max. Negotiated Rate |
$3.37 |
| Rate for Payer: Aetna Commercial |
$2.02
|
| Rate for Payer: Aetna Medicare Advantage |
$2.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.72
|
| Rate for Payer: Cigna Commercial |
$3.37
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.88
|
| Rate for Payer: Oxford Commercial |
$3.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.37
|
|
|
NEEDLE SPINE STRL 22 X 3 1/2
|
Facility
|
IP
|
$6.74
|
|
| Hospital Charge Code |
27020065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.01 |
| Max. Negotiated Rate |
$1.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.01
|
|
|
NEEDLE SPNAL BIO 22GAX20CM
|
Facility
|
IP
|
$160.00
|
|
| Hospital Charge Code |
270658293
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.00
|
|
|
NEEDLE SPNAL BIO 22GAX20CM
|
Facility
|
OP
|
$160.00
|
|
| Hospital Charge Code |
270658293
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.80 |
| Max. Negotiated Rate |
$80.00 |
| Rate for Payer: Aetna Commercial |
$48.00
|
| Rate for Payer: Aetna Medicare Advantage |
$48.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$40.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$40.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$40.80
|
| Rate for Payer: Cigna Commercial |
$80.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.80
|
| Rate for Payer: Oxford Commercial |
$80.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$80.00
|
|
|
NEEDLE SPROTE 24G 3 1/2 333741
|
Facility
|
IP
|
$40.05
|
|
| Hospital Charge Code |
270616983
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.01 |
| Max. Negotiated Rate |
$6.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.01
|
|
|
NEEDLE SPROTE 24G 3 1/2 333741
|
Facility
|
OP
|
$40.05
|
|
| Hospital Charge Code |
270616983
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.21 |
| Max. Negotiated Rate |
$20.02 |
| Rate for Payer: Aetna Commercial |
$12.02
|
| Rate for Payer: Aetna Medicare Advantage |
$12.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.21
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.21
|
| Rate for Payer: Cigna Commercial |
$20.02
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.21
|
| Rate for Payer: Oxford Commercial |
$20.02
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$20.02
|
|
|
NEEDLES-SURGICAL
|
Facility
|
OP
|
$462.00
|
|
| Hospital Charge Code |
270339052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$60.06 |
| Max. Negotiated Rate |
$231.00 |
| Rate for Payer: Aetna Commercial |
$138.60
|
| Rate for Payer: Aetna Medicare Advantage |
$138.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$117.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$117.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$117.81
|
| Rate for Payer: Cigna Commercial |
$231.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$60.06
|
| Rate for Payer: Oxford Commercial |
$231.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$231.00
|
|
|
NEEDLES-SURGICAL
|
Facility
|
IP
|
$462.00
|
|
| Hospital Charge Code |
270339052
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$69.30 |
| Max. Negotiated Rate |
$69.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$69.30
|
|
|
NEEDLE ST 8 PATHSEEKER 214652
|
Facility
|
OP
|
$2,730.00
|
|
| Hospital Charge Code |
270637607
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$354.90 |
| Max. Negotiated Rate |
$1,365.00 |
| Rate for Payer: Aetna Commercial |
$819.00
|
| Rate for Payer: Aetna Medicare Advantage |
$819.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$696.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$696.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$696.15
|
| Rate for Payer: Cigna Commercial |
$1,365.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$354.90
|
| Rate for Payer: Oxford Commercial |
$1,365.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$409.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,365.00
|
|
|
NEEDLE ST 8 PATHSEEKER 214652
|
Facility
|
IP
|
$2,730.00
|
|
| Hospital Charge Code |
270637607
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$409.50 |
| Max. Negotiated Rate |
$409.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$409.50
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
IP
|
$376.85
|
|
| Hospital Charge Code |
270601195V
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.53 |
| Max. Negotiated Rate |
$56.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
OP
|
$376.85
|
|
| Hospital Charge Code |
270601195
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$188.43 |
| Rate for Payer: Aetna Commercial |
$113.06
|
| Rate for Payer: Aetna Medicare Advantage |
$113.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$96.10
|
| Rate for Payer: Cigna Commercial |
$188.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$48.99
|
| Rate for Payer: Oxford Commercial |
$188.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$188.43
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
IP
|
$376.85
|
|
| Hospital Charge Code |
270601195
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.53 |
| Max. Negotiated Rate |
$56.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
|
|
NEEDLE STIFCR TRANSBRONCH 1140
|
Facility
|
OP
|
$376.85
|
|
| Hospital Charge Code |
270601195V
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$188.43 |
| Rate for Payer: Aetna Commercial |
$113.06
|
| Rate for Payer: Aetna Medicare Advantage |
$113.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$96.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$96.10
|
| Rate for Payer: Cigna Commercial |
$188.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$48.99
|
| Rate for Payer: Oxford Commercial |
$188.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$188.43
|
|
|
NEEDLE STIMUPLE 22X2
|
Facility
|
OP
|
$65.30
|
|
| Hospital Charge Code |
270669693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.49 |
| Max. Negotiated Rate |
$32.65 |
| Rate for Payer: Aetna Commercial |
$19.59
|
| Rate for Payer: Aetna Medicare Advantage |
$19.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.65
|
| Rate for Payer: Cigna Commercial |
$32.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.49
|
| Rate for Payer: Oxford Commercial |
$32.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$32.65
|
|
|
NEEDLE STIMUPLE 22X2
|
Facility
|
IP
|
$65.30
|
|
| Hospital Charge Code |
270669693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.79 |
| Max. Negotiated Rate |
$9.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.79
|
|
|
NEEDLE STIMUPLEX 22GX2
|
Facility
|
IP
|
$48.00
|
|
| Hospital Charge Code |
270645493
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$7.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.20
|
|
|
NEEDLE STIMUPLEX 22GX2
|
Facility
|
OP
|
$48.00
|
|
| Hospital Charge Code |
270645493
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.24 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Commercial |
$14.40
|
| Rate for Payer: Aetna Medicare Advantage |
$14.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12.24
|
| Rate for Payer: Cigna Commercial |
$24.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.24
|
| Rate for Payer: Oxford Commercial |
$24.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$24.00
|
|
|
NEEDLE STIMUPLEX 22 X 2
|
Facility
|
IP
|
$60.00
|
|
| Hospital Charge Code |
270664064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$9.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.00
|
|
|
NEEDLE STIMUPLEX 22 X 2
|
Facility
|
OP
|
$60.00
|
|
| Hospital Charge Code |
270664064
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.80 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Commercial |
$18.00
|
| Rate for Payer: Aetna Medicare Advantage |
$18.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.30
|
| Rate for Payer: Cigna Commercial |
$30.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.80
|
| Rate for Payer: Oxford Commercial |
$30.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$30.00
|
|
|
NEEDLE STIMUPLEX A INSULATED
|
Facility
|
OP
|
$46.41
|
|
| Hospital Charge Code |
2704894502
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.03 |
| Max. Negotiated Rate |
$23.20 |
| Rate for Payer: Aetna Commercial |
$13.92
|
| Rate for Payer: Aetna Medicare Advantage |
$13.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.83
|
| Rate for Payer: Cigna Commercial |
$23.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.03
|
| Rate for Payer: Oxford Commercial |
$23.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$23.20
|
|