|
NEEDLE TRU-CUT BIOPSY 4.5-6***
|
Facility
|
IP
|
$314.00
|
|
| Hospital Charge Code |
8001430
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$47.10 |
| Max. Negotiated Rate |
$47.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.10
|
|
|
NEEDLE TRU-CUT BIOPSY 4.5-6***
|
Facility
|
OP
|
$314.00
|
|
| Hospital Charge Code |
8001430
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$40.82 |
| Max. Negotiated Rate |
$157.00 |
| Rate for Payer: Aetna Commercial |
$94.20
|
| Rate for Payer: Aetna Medicare Advantage |
$94.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$80.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$80.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$80.07
|
| Rate for Payer: Cigna Commercial |
$157.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$40.82
|
| Rate for Payer: Oxford Commercial |
$157.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$157.00
|
|
|
NEEDLE TRU-CUT BIOPSY 6.0
|
Facility
|
OP
|
$85.65
|
|
| Hospital Charge Code |
270301271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.13 |
| Max. Negotiated Rate |
$42.83 |
| Rate for Payer: Aetna Commercial |
$25.70
|
| Rate for Payer: Aetna Medicare Advantage |
$25.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.84
|
| Rate for Payer: Cigna Commercial |
$42.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.13
|
| Rate for Payer: Oxford Commercial |
$42.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.83
|
|
|
NEEDLE TRU-CUT BIOPSY 6.0
|
Facility
|
IP
|
$85.65
|
|
| Hospital Charge Code |
270301271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.85 |
| Max. Negotiated Rate |
$12.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.85
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
OP
|
$10.57
|
|
| Hospital Charge Code |
270624456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.37 |
| Max. Negotiated Rate |
$5.29 |
| Rate for Payer: Aetna Commercial |
$3.17
|
| Rate for Payer: Aetna Medicare Advantage |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.70
|
| Rate for Payer: Cigna Commercial |
$5.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.37
|
| Rate for Payer: Oxford Commercial |
$5.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.29
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
IP
|
$10.58
|
|
| Hospital Charge Code |
270626053
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.59 |
| Max. Negotiated Rate |
$1.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
OP
|
$10.58
|
|
| Hospital Charge Code |
270626053
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.38 |
| Max. Negotiated Rate |
$5.29 |
| Rate for Payer: Aetna Commercial |
$3.17
|
| Rate for Payer: Aetna Medicare Advantage |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.70
|
| Rate for Payer: Cigna Commercial |
$5.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.38
|
| Rate for Payer: Oxford Commercial |
$5.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.29
|
|
|
NEEDLE TRUGUIDE
|
Facility
|
IP
|
$10.57
|
|
| Hospital Charge Code |
270624456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.59 |
| Max. Negotiated Rate |
$1.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
|
|
NEEDLE TRU GUIDE
|
Facility
|
IP
|
$52.90
|
|
| Hospital Charge Code |
2709000651
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$7.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
|
|
NEEDLE TRU GUIDE
|
Facility
|
OP
|
$52.90
|
|
| Hospital Charge Code |
2709000651
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.88 |
| Max. Negotiated Rate |
$26.45 |
| Rate for Payer: Aetna Commercial |
$15.87
|
| Rate for Payer: Aetna Medicare Advantage |
$15.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.49
|
| Rate for Payer: Cigna Commercial |
$26.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.88
|
| Rate for Payer: Oxford Commercial |
$26.45
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$26.45
|
|
|
NEEDLE TRUGUIDE 13G 13.5cm
|
Facility
|
OP
|
$62.10
|
|
| Hospital Charge Code |
270628527
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.07 |
| Max. Negotiated Rate |
$31.05 |
| Rate for Payer: Aetna Commercial |
$18.63
|
| Rate for Payer: Aetna Medicare Advantage |
$18.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.84
|
| Rate for Payer: Cigna Commercial |
$31.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.07
|
| Rate for Payer: Oxford Commercial |
$31.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.31
|
| Rate for Payer: UnitedHealthcare Commercial |
$31.05
|
|
|
NEEDLE TRUGUIDE 13G 13.5cm
|
Facility
|
IP
|
$62.10
|
|
| Hospital Charge Code |
270628527
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.31 |
| Max. Negotiated Rate |
$9.31 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.31
|
|
|
NEEDLE TRUGUIDE 13G 7.8cm
|
Facility
|
OP
|
$230.49
|
|
| Hospital Charge Code |
270628526
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.96 |
| Max. Negotiated Rate |
$115.25 |
| Rate for Payer: Aetna Commercial |
$69.15
|
| Rate for Payer: Aetna Medicare Advantage |
$69.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.77
|
| Rate for Payer: Cigna Commercial |
$115.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$29.96
|
| Rate for Payer: Oxford Commercial |
$115.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$115.25
|
|
|
NEEDLE TRUGUIDE 13G 7.8cm
|
Facility
|
IP
|
$230.49
|
|
| Hospital Charge Code |
270628526
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.57 |
| Max. Negotiated Rate |
$34.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.57
|
|
|
NEEDLE TRUGUIDE 17G 13.8cm
|
Facility
|
IP
|
$60.82
|
|
| Hospital Charge Code |
270624455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.12 |
| Max. Negotiated Rate |
$9.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.12
|
|
|
NEEDLE TRUGUIDE 17G 13.8cm
|
Facility
|
OP
|
$60.82
|
|
| Hospital Charge Code |
270624455
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$30.41 |
| Rate for Payer: Aetna Commercial |
$18.25
|
| Rate for Payer: Aetna Medicare Advantage |
$18.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.51
|
| Rate for Payer: Cigna Commercial |
$30.41
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.91
|
| Rate for Payer: Oxford Commercial |
$30.41
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$30.41
|
|
|
NEEDLE TRUGUIDE 17G 17.8cm
|
Facility
|
OP
|
$55.55
|
|
| Hospital Charge Code |
270627539
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.22 |
| Max. Negotiated Rate |
$27.77 |
| Rate for Payer: Aetna Commercial |
$16.66
|
| Rate for Payer: Aetna Medicare Advantage |
$16.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14.17
|
| Rate for Payer: Cigna Commercial |
$27.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.22
|
| Rate for Payer: Oxford Commercial |
$27.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.77
|
|
|
NEEDLE TRUGUIDE 17G 17.8cm
|
Facility
|
IP
|
$55.55
|
|
| Hospital Charge Code |
270627539
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.33 |
| Max. Negotiated Rate |
$8.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.33
|
|
|
NEEDLE TRUGUIDE 18g 10CM
|
Facility
|
IP
|
$10.57
|
|
| Hospital Charge Code |
270631206
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.59 |
| Max. Negotiated Rate |
$1.59 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
|
|
NEEDLE TRUGUIDE 18g 10CM
|
Facility
|
OP
|
$10.57
|
|
| Hospital Charge Code |
270631206
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.37 |
| Max. Negotiated Rate |
$5.29 |
| Rate for Payer: Aetna Commercial |
$3.17
|
| Rate for Payer: Aetna Medicare Advantage |
$3.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.70
|
| Rate for Payer: Cigna Commercial |
$5.29
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.37
|
| Rate for Payer: Oxford Commercial |
$5.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.59
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.29
|
|
|
NEEDLE TRU GUIDE 18G X 10CM
|
Facility
|
OP
|
$52.85
|
|
| Hospital Charge Code |
2709001229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.87 |
| Max. Negotiated Rate |
$26.43 |
| Rate for Payer: Aetna Commercial |
$15.86
|
| Rate for Payer: Aetna Medicare Advantage |
$15.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.48
|
| Rate for Payer: Cigna Commercial |
$26.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.87
|
| Rate for Payer: Oxford Commercial |
$26.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$26.43
|
|
|
NEEDLE TRU GUIDE 18G X 10CM
|
Facility
|
IP
|
$52.85
|
|
| Hospital Charge Code |
2709001229
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$7.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
|
|
NEEDLE TRUGUIDE 19G 17.8cm
|
Facility
|
OP
|
$55.55
|
|
| Hospital Charge Code |
270624457
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.22 |
| Max. Negotiated Rate |
$27.77 |
| Rate for Payer: Aetna Commercial |
$16.66
|
| Rate for Payer: Aetna Medicare Advantage |
$16.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14.17
|
| Rate for Payer: Cigna Commercial |
$27.77
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.22
|
| Rate for Payer: Oxford Commercial |
$27.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.77
|
|
|
NEEDLE TRUGUIDE 19G 17.8cm
|
Facility
|
IP
|
$55.55
|
|
| Hospital Charge Code |
270624457
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.33 |
| Max. Negotiated Rate |
$8.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.33
|
|
|
NEEDLE TRU GUIDE 5/BX
|
Facility
|
OP
|
$52.85
|
|
| Hospital Charge Code |
2706000704
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.87 |
| Max. Negotiated Rate |
$26.43 |
| Rate for Payer: Aetna Commercial |
$15.86
|
| Rate for Payer: Aetna Medicare Advantage |
$15.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.48
|
| Rate for Payer: Cigna Commercial |
$26.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.87
|
| Rate for Payer: Oxford Commercial |
$26.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$26.43
|
|