|
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
|
|
|
NEEDLE TRU GUIDE 5/BX
|
Facility
|
OP
|
$52.85
|
|
| Hospital Charge Code |
2706000707
|
|
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 5/BX
|
Facility
|
IP
|
$52.85
|
|
| Hospital Charge Code |
2706000707
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.93 |
| Max. Negotiated Rate |
$7.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.93
|
|
|
NEEDLE TUOHY
|
Facility
|
IP
|
$125.24
|
|
| Hospital Charge Code |
270649085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.79 |
| Max. Negotiated Rate |
$18.79 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.79
|
|
|
NEEDLE TUOHY
|
Facility
|
OP
|
$125.24
|
|
| Hospital Charge Code |
270649085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.28 |
| Max. Negotiated Rate |
$62.62 |
| Rate for Payer: Aetna Commercial |
$37.57
|
| Rate for Payer: Aetna Medicare Advantage |
$37.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$31.94
|
| Rate for Payer: Cigna Commercial |
$62.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.28
|
| Rate for Payer: Oxford Commercial |
$62.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.79
|
| Rate for Payer: UnitedHealthcare Commercial |
$62.62
|
|
|
NEEDLE TUOHY 17G 6IN 001401
|
Facility
|
OP
|
$90.20
|
|
| Hospital Charge Code |
270626532
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.73 |
| Max. Negotiated Rate |
$45.10 |
| Rate for Payer: Aetna Commercial |
$27.06
|
| Rate for Payer: Aetna Medicare Advantage |
$27.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.00
|
| Rate for Payer: Cigna Commercial |
$45.10
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.73
|
| Rate for Payer: Oxford Commercial |
$45.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.10
|
|
|
NEEDLE TUOHY 17G 6IN 001401
|
Facility
|
IP
|
$90.20
|
|
| Hospital Charge Code |
270626532
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.53 |
| Max. Negotiated Rate |
$13.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.53
|
|
|
NEEDLE TUOHY 17GA 3-1/2 332180
|
Facility
|
IP
|
$36.50
|
|
| Hospital Charge Code |
270638873
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.47 |
| Max. Negotiated Rate |
$5.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.47
|
|
|
NEEDLE TUOHY 17GA 3-1/2 332180
|
Facility
|
OP
|
$36.50
|
|
| Hospital Charge Code |
270638873
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.75 |
| Max. Negotiated Rate |
$18.25 |
| Rate for Payer: Aetna Commercial |
$10.95
|
| Rate for Payer: Aetna Medicare Advantage |
$10.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.31
|
| Rate for Payer: Cigna Commercial |
$18.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.75
|
| Rate for Payer: Oxford Commercial |
$18.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.25
|
|
|
NEEDLE TUOHY 17GX6 INCH 1401
|
Facility
|
OP
|
$131.60
|
|
| Hospital Charge Code |
270637210
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.11 |
| Max. Negotiated Rate |
$65.80 |
| Rate for Payer: Aetna Commercial |
$39.48
|
| Rate for Payer: Aetna Medicare Advantage |
$39.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$33.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$33.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$33.56
|
| Rate for Payer: Cigna Commercial |
$65.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.11
|
| Rate for Payer: Oxford Commercial |
$65.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.74
|
| Rate for Payer: UnitedHealthcare Commercial |
$65.80
|
|
|
NEEDLE TUOHY 17GX6 INCH 1401
|
Facility
|
IP
|
$131.60
|
|
| Hospital Charge Code |
270637210
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.74 |
| Max. Negotiated Rate |
$19.74 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.74
|
|
|
NEEDLE TUOHY 20G 3-1/2 405028
|
Facility
|
IP
|
$18.64
|
|
| Hospital Charge Code |
270604862
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$2.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.80
|
|
|
NEEDLE TUOHY 20G 3-1/2 405028
|
Facility
|
OP
|
$18.64
|
|
| Hospital Charge Code |
270604862
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.42 |
| Max. Negotiated Rate |
$9.32 |
| Rate for Payer: Aetna Commercial |
$5.59
|
| Rate for Payer: Aetna Medicare Advantage |
$5.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.75
|
| Rate for Payer: Cigna Commercial |
$9.32
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.42
|
| Rate for Payer: Oxford Commercial |
$9.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.32
|
|
|
NEEDLE TUOHY EPIDURAL 20x3-1/2
|
Facility
|
OP
|
$34.98
|
|
| Hospital Charge Code |
270651006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.55 |
| Max. Negotiated Rate |
$17.49 |
| Rate for Payer: Aetna Commercial |
$10.49
|
| Rate for Payer: Aetna Medicare Advantage |
$10.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.92
|
| Rate for Payer: Cigna Commercial |
$17.49
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.55
|
| Rate for Payer: Oxford Commercial |
$17.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.49
|
|
|
NEEDLE TUOHY EPIDURAL 20x3-1/2
|
Facility
|
IP
|
$34.98
|
|
| Hospital Charge Code |
270651006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
NEEDLE VACUTAINER 21G 1
|
Facility
|
OP
|
$27.20
|
|
| Hospital Charge Code |
270650285
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.54 |
| Max. Negotiated Rate |
$13.60 |
| Rate for Payer: Aetna Commercial |
$8.16
|
| Rate for Payer: Aetna Medicare Advantage |
$8.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.94
|
| Rate for Payer: Cigna Commercial |
$13.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.54
|
| Rate for Payer: Oxford Commercial |
$13.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.60
|
|
|
NEEDLE VACUTAINER 21G 1
|
Facility
|
IP
|
$27.20
|
|
| Hospital Charge Code |
270650285
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.08 |
| Max. Negotiated Rate |
$4.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.08
|
|
|
NEEDLE VARIABLE INJ 23G LDV123
|
Facility
|
OP
|
$405.00
|
|
| Hospital Charge Code |
270626206
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$52.65 |
| Max. Negotiated Rate |
$202.50 |
| Rate for Payer: Aetna Commercial |
$121.50
|
| Rate for Payer: Aetna Medicare Advantage |
$121.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$103.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$103.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$103.28
|
| Rate for Payer: Cigna Commercial |
$202.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.65
|
| Rate for Payer: Oxford Commercial |
$202.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$60.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$202.50
|
|
|
NEEDLE VARIABLE INJ 23G LDV123
|
Facility
|
IP
|
$405.00
|
|
| Hospital Charge Code |
270626206
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$60.75 |
| Max. Negotiated Rate |
$60.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$60.75
|
|
|
NEEDLE VARIJECT INJECT #1125
|
Facility
|
IP
|
$231.25
|
|
| Hospital Charge Code |
270603945
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.69 |
| Max. Negotiated Rate |
$34.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.69
|
|
|
NEEDLE VARIJECT INJECT #1125
|
Facility
|
OP
|
$231.25
|
|
| Hospital Charge Code |
270603945
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.06 |
| Max. Negotiated Rate |
$115.62 |
| Rate for Payer: Aetna Commercial |
$69.38
|
| Rate for Payer: Aetna Medicare Advantage |
$69.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.97
|
| Rate for Payer: Cigna Commercial |
$115.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.06
|
| Rate for Payer: Oxford Commercial |
$115.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$115.62
|
|
|
NEEDLE VARIJECT INJECT 1836
|
Facility
|
OP
|
$231.25
|
|
| Hospital Charge Code |
270603944
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.06 |
| Max. Negotiated Rate |
$115.62 |
| Rate for Payer: Aetna Commercial |
$69.38
|
| Rate for Payer: Aetna Medicare Advantage |
$69.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.97
|
| Rate for Payer: Cigna Commercial |
$115.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.06
|
| Rate for Payer: Oxford Commercial |
$115.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$115.62
|
|
|
NEEDLE VARIJECT INJECT 1836
|
Facility
|
IP
|
$231.25
|
|
| Hospital Charge Code |
270603944
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.69 |
| Max. Negotiated Rate |
$34.69 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.69
|
|
|
NEEDLE VENA CAVA 18G *******
|
Facility
|
OP
|
$13.00
|
|
| Hospital Charge Code |
1608405
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Aetna Commercial |
$3.90
|
| Rate for Payer: Aetna Medicare Advantage |
$3.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.31
|
| Rate for Payer: Cigna Commercial |
$6.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.69
|
| Rate for Payer: Oxford Commercial |
$6.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.50
|
|
|
NEEDLE VENA CAVA 18G *******
|
Facility
|
IP
|
$13.00
|
|
| Hospital Charge Code |
1608405
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.95 |
| Max. Negotiated Rate |
$1.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.95
|
|