|
PROBE THERMOMETER F/PRO200
|
Facility
|
OP
|
$933.50
|
|
| Hospital Charge Code |
270647235
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$121.36 |
| Max. Negotiated Rate |
$466.75 |
| Rate for Payer: Aetna Commercial |
$280.05
|
| Rate for Payer: Aetna Medicare Advantage |
$280.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$238.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$238.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$238.04
|
| Rate for Payer: Cigna Commercial |
$466.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$121.36
|
| Rate for Payer: Oxford Commercial |
$466.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$140.03
|
| Rate for Payer: UnitedHealthcare Commercial |
$466.75
|
|
|
PROBE TRIPLANE
|
Facility
|
IP
|
$1,690.00
|
|
| Hospital Charge Code |
270700037
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$253.50 |
| Max. Negotiated Rate |
$253.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$253.50
|
|
|
PROBE TRIPLANE
|
Facility
|
OP
|
$1,690.00
|
|
| Hospital Charge Code |
270700037
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$219.70 |
| Max. Negotiated Rate |
$845.00 |
| Rate for Payer: Aetna Commercial |
$507.00
|
| Rate for Payer: Aetna Medicare Advantage |
$507.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$430.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$430.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$430.95
|
| Rate for Payer: Cigna Commercial |
$845.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$219.70
|
| Rate for Payer: Oxford Commercial |
$845.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$253.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$845.00
|
|
|
PROBE ULTRASONIC W/OSCILLATING
|
Facility
|
OP
|
$1,260.00
|
|
| Hospital Charge Code |
270666889
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$163.80 |
| Max. Negotiated Rate |
$630.00 |
| Rate for Payer: Aetna Commercial |
$378.00
|
| Rate for Payer: Aetna Medicare Advantage |
$378.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$321.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$321.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$321.30
|
| Rate for Payer: Cigna Commercial |
$630.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$163.80
|
| Rate for Payer: Oxford Commercial |
$630.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$189.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$630.00
|
|
|
PROBE ULTRASONIC W/OSCILLATING
|
Facility
|
IP
|
$1,260.00
|
|
| Hospital Charge Code |
270666889
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$189.00 |
| Max. Negotiated Rate |
$189.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$189.00
|
|
|
PROBE ULTRASOUND
|
Facility
|
OP
|
$1,545.00
|
|
| Hospital Charge Code |
270690526
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$200.85 |
| Max. Negotiated Rate |
$772.50 |
| Rate for Payer: Aetna Commercial |
$463.50
|
| Rate for Payer: Aetna Medicare Advantage |
$463.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$393.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$393.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$393.98
|
| Rate for Payer: Cigna Commercial |
$772.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$200.85
|
| Rate for Payer: Oxford Commercial |
$772.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$231.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$772.50
|
|
|
PROBE ULTRASOUND
|
Facility
|
IP
|
$1,545.00
|
|
| Hospital Charge Code |
270690526
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$231.75 |
| Max. Negotiated Rate |
$231.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$231.75
|
|
|
PROBE VACUUM LASER AMBER TIP
|
Facility
|
OP
|
$69.00
|
|
| Hospital Charge Code |
270331178
|
|
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
|
|
|
PROBE VACUUM LASER AMBER TIP
|
Facility
|
IP
|
$69.00
|
|
| Hospital Charge Code |
270331178
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.35 |
| Max. Negotiated Rate |
$10.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.35
|
|
|
PROBE VAPORFLEX 32CM
|
Facility
|
IP
|
$2,490.00
|
|
| Hospital Charge Code |
270694898
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$373.50 |
| Max. Negotiated Rate |
$373.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$373.50
|
|
|
PROBE VAPORFLEX 32CM
|
Facility
|
OP
|
$2,490.00
|
|
| Hospital Charge Code |
270694898
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$323.70 |
| Max. Negotiated Rate |
$1,245.00 |
| Rate for Payer: Aetna Commercial |
$747.00
|
| Rate for Payer: Aetna Medicare Advantage |
$747.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$634.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$634.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$634.95
|
| Rate for Payer: Cigna Commercial |
$1,245.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$323.70
|
| Rate for Payer: Oxford Commercial |
$1,245.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$373.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,245.00
|
|
|
PROBE VIT 23 GA
|
Facility
|
IP
|
$7,402.50
|
|
| Hospital Charge Code |
270684101
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,110.38 |
| Max. Negotiated Rate |
$1,110.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,110.38
|
|
|
PROBE VIT 23 GA
|
Facility
|
OP
|
$7,402.50
|
|
| Hospital Charge Code |
270684101
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$962.33 |
| Max. Negotiated Rate |
$3,701.25 |
| Rate for Payer: Aetna Commercial |
$2,220.75
|
| Rate for Payer: Aetna Medicare Advantage |
$2,220.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,887.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,887.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,887.64
|
| Rate for Payer: Cigna Commercial |
$3,701.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$962.33
|
| Rate for Payer: Oxford Commercial |
$3,701.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,110.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,701.25
|
|
|
PROBE WC BIPOL COAG 10F BCP10B
|
Facility
|
IP
|
$693.65
|
|
| Hospital Charge Code |
270623615
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$104.05 |
| Max. Negotiated Rate |
$104.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$104.05
|
|
|
PROBE WC BIPOL COAG 10F BCP10B
|
Facility
|
OP
|
$693.65
|
|
| Hospital Charge Code |
270623615
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$90.17 |
| Max. Negotiated Rate |
$346.82 |
| Rate for Payer: Aetna Commercial |
$208.09
|
| Rate for Payer: Aetna Medicare Advantage |
$208.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$176.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$176.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$176.88
|
| Rate for Payer: Cigna Commercial |
$346.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.17
|
| Rate for Payer: Oxford Commercial |
$346.82
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$104.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$346.82
|
|
|
PROBE WC BIPOL COAG 7F BCP7A
|
Facility
|
OP
|
$734.45
|
|
| Hospital Charge Code |
270623604
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$95.48 |
| Max. Negotiated Rate |
$367.23 |
| Rate for Payer: Aetna Commercial |
$220.34
|
| Rate for Payer: Aetna Medicare Advantage |
$220.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$187.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$187.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$187.28
|
| Rate for Payer: Cigna Commercial |
$367.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$95.48
|
| Rate for Payer: Oxford Commercial |
$367.23
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$110.17
|
| Rate for Payer: UnitedHealthcare Commercial |
$367.23
|
|
|
PROBE WC BIPOL COAG 7F BCP7A
|
Facility
|
IP
|
$734.45
|
|
| Hospital Charge Code |
270623604
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$110.17 |
| Max. Negotiated Rate |
$110.17 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$110.17
|
|
|
PROBE WIDE HATCH
|
Facility
|
IP
|
$2,400.00
|
|
| Hospital Charge Code |
270675677
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$360.00 |
| Max. Negotiated Rate |
$360.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$360.00
|
|
|
PROBE WIDE HATCH
|
Facility
|
OP
|
$2,400.00
|
|
| Hospital Charge Code |
270675677
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$312.00 |
| Max. Negotiated Rate |
$1,200.00 |
| Rate for Payer: Aetna Commercial |
$720.00
|
| Rate for Payer: Aetna Medicare Advantage |
$720.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$612.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$612.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$612.00
|
| Rate for Payer: Cigna Commercial |
$1,200.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$312.00
|
| Rate for Payer: Oxford Commercial |
$1,200.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$360.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,200.00
|
|
|
PROBE XMD PROSE SITMUL 8225101
|
Facility
|
IP
|
$541.00
|
|
| Hospital Charge Code |
270621756
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$81.15 |
| Max. Negotiated Rate |
$81.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$81.15
|
|
|
PROBE XMD PROSE SITMUL 8225101
|
Facility
|
OP
|
$541.00
|
|
| Hospital Charge Code |
270621756
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$70.33 |
| Max. Negotiated Rate |
$270.50 |
| Rate for Payer: Aetna Commercial |
$162.30
|
| Rate for Payer: Aetna Medicare Advantage |
$162.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$137.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$137.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$137.96
|
| Rate for Payer: Cigna Commercial |
$270.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$70.33
|
| Rate for Payer: Oxford Commercial |
$270.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$81.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$270.50
|
|
|
PROBNP
|
Facility
|
OP
|
$659.16
|
|
|
Service Code
|
HCPCS 83880
|
| Hospital Charge Code |
3038142
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.63 |
| Max. Negotiated Rate |
$143.85 |
| Rate for Payer: Aetna Commercial |
$127.20
|
| Rate for Payer: Aetna Medicare Advantage |
$39.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$143.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$143.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$39.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$35.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$143.85
|
| Rate for Payer: Cigna Commercial |
$39.26
|
| Rate for Payer: Cigna Medicare Advantage |
$19.63
|
| Rate for Payer: Clover Medicare Advantage |
$37.30
|
| Rate for Payer: EmblemHealth Commercial |
$117.78
|
| Rate for Payer: Humana Medicare Advantage |
$40.44
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$85.69
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$98.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$39.26
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$41.62
|
| Rate for Payer: Wellcare Medicare Advantage |
$39.26
|
|
|
PROBNP
|
Facility
|
IP
|
$659.16
|
|
|
Service Code
|
HCPCS 83880
|
| Hospital Charge Code |
3038142
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$98.87 |
| Max. Negotiated Rate |
$98.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$98.87
|
|
|
PROCAINAMIDE
|
Facility
|
IP
|
$153.65
|
|
|
Service Code
|
HCPCS 80190
|
| Hospital Charge Code |
3004645
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$23.05 |
| Max. Negotiated Rate |
$23.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.05
|
|
|
PROCAINAMIDE
|
Facility
|
OP
|
$153.65
|
|
|
Service Code
|
HCPCS 80190
|
| Hospital Charge Code |
3004645
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.97 |
| Max. Negotiated Rate |
$219.84 |
| Rate for Payer: Aetna Commercial |
$194.40
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$219.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$219.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$28.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$219.84
|
| Rate for Payer: Cigna Commercial |
$60.00
|
| Rate for Payer: Cigna Medicare Advantage |
$30.00
|
| Rate for Payer: Clover Medicare Advantage |
$57.00
|
| Rate for Payer: EmblemHealth Commercial |
$180.00
|
| Rate for Payer: Humana Medicare Advantage |
$61.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.97
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$60.00
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$63.60
|
| Rate for Payer: Wellcare Medicare Advantage |
$60.00
|
|