|
PUNCH CORNEA DONO 8.7MM
|
Facility
|
IP
|
$430.45
|
|
| Hospital Charge Code |
270600228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.57 |
| Max. Negotiated Rate |
$64.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.57
|
|
|
PUNCH CORNEA DONO 8.7MM
|
Facility
|
OP
|
$430.45
|
|
| Hospital Charge Code |
270600228
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.96 |
| Max. Negotiated Rate |
$215.22 |
| Rate for Payer: Aetna Commercial |
$129.13
|
| Rate for Payer: Aetna Medicare Advantage |
$129.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.76
|
| Rate for Payer: Cigna Commercial |
$215.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.96
|
| Rate for Payer: Oxford Commercial |
$215.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$215.22
|
|
|
PUNCH CORNEA DONOR KATENA ****
|
Facility
|
IP
|
$112.00
|
|
| Hospital Charge Code |
1607043
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$16.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.80
|
|
|
PUNCH CORNEA DONOR KATENA ****
|
Facility
|
OP
|
$112.00
|
|
| Hospital Charge Code |
1607043
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.56 |
| Max. Negotiated Rate |
$56.00 |
| Rate for Payer: Aetna Commercial |
$33.60
|
| Rate for Payer: Aetna Medicare Advantage |
$33.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$28.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$28.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$28.56
|
| Rate for Payer: Cigna Commercial |
$56.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.56
|
| Rate for Payer: Oxford Commercial |
$56.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$56.00
|
|
|
PUNCH DISP CRKSDRW SWVLK ANCHS
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270656550
|
|
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
|
|
|
PUNCH DISP CRKSDRW SWVLK ANCHS
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270656550
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
PUNCH FOR 3.5MM PUSHLOCK
|
Facility
|
IP
|
$950.00
|
|
| Hospital Charge Code |
270656551
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$142.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
|
|
PUNCH FOR 3.5MM PUSHLOCK
|
Facility
|
OP
|
$950.00
|
|
| Hospital Charge Code |
270656551
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$123.50 |
| Max. Negotiated Rate |
$475.00 |
| Rate for Payer: Aetna Commercial |
$285.00
|
| Rate for Payer: Aetna Medicare Advantage |
$285.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$242.25
|
| Rate for Payer: Cigna Commercial |
$475.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$123.50
|
| Rate for Payer: Oxford Commercial |
$475.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$475.00
|
|
|
PUNCH FOR 3.9MM SWIVELOCK
|
Facility
|
IP
|
$950.00
|
|
| Hospital Charge Code |
270687859
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$142.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
|
|
PUNCH FOR 3.9MM SWIVELOCK
|
Facility
|
OP
|
$950.00
|
|
| Hospital Charge Code |
270687859
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$123.50 |
| Max. Negotiated Rate |
$475.00 |
| Rate for Payer: Aetna Commercial |
$285.00
|
| Rate for Payer: Aetna Medicare Advantage |
$285.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$242.25
|
| Rate for Payer: Cigna Commercial |
$475.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$123.50
|
| Rate for Payer: Oxford Commercial |
$475.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$475.00
|
|
|
PUNCH FOR 4.5MM LOCK
|
Facility
|
IP
|
$950.00
|
|
| Hospital Charge Code |
270656552
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$142.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
|
|
PUNCH FOR 4.5MM LOCK
|
Facility
|
OP
|
$950.00
|
|
| Hospital Charge Code |
270656552
|
|
Hospital Revenue Code
|
271
|
| Min. Negotiated Rate |
$123.50 |
| Max. Negotiated Rate |
$475.00 |
| Rate for Payer: Aetna Commercial |
$285.00
|
| Rate for Payer: Aetna Medicare Advantage |
$285.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$242.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$242.25
|
| Rate for Payer: Cigna Commercial |
$475.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$123.50
|
| Rate for Payer: Oxford Commercial |
$475.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$142.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$475.00
|
|
|
PUNCH KOFLER HAJEK
|
Facility
|
IP
|
$4,211.00
|
|
| Hospital Charge Code |
270689937
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$631.65 |
| Max. Negotiated Rate |
$631.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$631.65
|
|
|
PUNCH KOFLER HAJEK
|
Facility
|
OP
|
$4,211.00
|
|
| Hospital Charge Code |
270689937
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$547.43 |
| Max. Negotiated Rate |
$2,105.50 |
| Rate for Payer: Aetna Commercial |
$1,263.30
|
| Rate for Payer: Aetna Medicare Advantage |
$1,263.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,073.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,073.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,073.81
|
| Rate for Payer: Cigna Commercial |
$2,105.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$547.43
|
| Rate for Payer: Oxford Commercial |
$2,105.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$631.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,105.50
|
|
|
PUNCH ROTARY LEFT 3.4 90 DEG
|
Facility
|
IP
|
$4,541.70
|
|
| Hospital Charge Code |
270665790
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$681.25 |
| Max. Negotiated Rate |
$681.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$681.25
|
|
|
PUNCH ROTARY LEFT 3.4 90 DEG
|
Facility
|
OP
|
$4,541.70
|
|
| Hospital Charge Code |
270665790
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$590.42 |
| Max. Negotiated Rate |
$2,270.85 |
| Rate for Payer: Aetna Commercial |
$1,362.51
|
| Rate for Payer: Aetna Medicare Advantage |
$1,362.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,158.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,158.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,158.13
|
| Rate for Payer: Cigna Commercial |
$2,270.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$590.42
|
| Rate for Payer: Oxford Commercial |
$2,270.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$681.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,270.85
|
|
|
PUNCH UP BITE 15 3.4 MM
|
Facility
|
OP
|
$3,936.15
|
|
| Hospital Charge Code |
270681794
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$511.70 |
| Max. Negotiated Rate |
$1,968.08 |
| Rate for Payer: Aetna Commercial |
$1,180.85
|
| Rate for Payer: Aetna Medicare Advantage |
$1,180.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,003.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,003.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,003.72
|
| Rate for Payer: Cigna Commercial |
$1,968.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$511.70
|
| Rate for Payer: Oxford Commercial |
$1,968.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$590.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,968.08
|
|
|
PUNCH UP BITE 15 3.4 MM
|
Facility
|
IP
|
$3,936.15
|
|
| Hospital Charge Code |
270681794
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$590.42 |
| Max. Negotiated Rate |
$590.42 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$590.42
|
|
|
PUNCT ASP ABSCES/HEM/BULLA/
|
Facility
|
OP
|
$1,141.35
|
|
|
Service Code
|
HCPCS 10160
|
| Hospital Charge Code |
2101194
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$148.38 |
| Max. Negotiated Rate |
$1,864.00 |
| Rate for Payer: Aetna Better Health Medicaid |
$1,037.98
|
| Rate for Payer: Aetna Commercial |
$342.40
|
| Rate for Payer: Aetna Medicare Advantage |
$342.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$291.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$291.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$291.04
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$148.38
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$171.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,686.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,058.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,037.98
|
|
|
PUNCT ASP ABSCES/HEM/BULLA/
|
Facility
|
IP
|
$1,141.35
|
|
|
Service Code
|
HCPCS 10160
|
| Hospital Charge Code |
2101194
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$171.20 |
| Max. Negotiated Rate |
$171.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$171.20
|
|
|
PUNCT ASP - ABSC HEMAT CYST
|
Facility
|
OP
|
$1,471.36
|
|
|
Service Code
|
HCPCS 10160
|
| Hospital Charge Code |
16000245
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$191.28 |
| Max. Negotiated Rate |
$1,864.00 |
| Rate for Payer: Aetna Better Health Medicaid |
$1,037.98
|
| Rate for Payer: Aetna Commercial |
$441.41
|
| Rate for Payer: Aetna Medicare Advantage |
$441.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$375.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$375.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,864.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$375.20
|
| Rate for Payer: Cigna Commercial |
$968.07
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$191.28
|
| Rate for Payer: Oxford Commercial |
$1,487.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$220.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,686.00
|
| Rate for Payer: Wellcare New Jersey Medicaid/Family Care |
$1,058.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1,037.98
|
|
|
PUNCT ASP - ABSC HEMAT CYST
|
Facility
|
IP
|
$1,471.36
|
|
|
Service Code
|
HCPCS 10160
|
| Hospital Charge Code |
16000245
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$220.70 |
| Max. Negotiated Rate |
$220.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$220.70
|
|
|
PUNCTURE CLOS EXIT DEVICE DISP
|
Facility
|
OP
|
$231.00
|
|
| Hospital Charge Code |
270600260
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.03 |
| Max. Negotiated Rate |
$115.50 |
| Rate for Payer: Aetna Commercial |
$69.30
|
| Rate for Payer: Aetna Medicare Advantage |
$69.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.91
|
| Rate for Payer: Cigna Commercial |
$115.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.03
|
| Rate for Payer: Oxford Commercial |
$115.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$115.50
|
|
|
PUNCTURE CLOS EXIT DEVICE DISP
|
Facility
|
IP
|
$231.00
|
|
| Hospital Charge Code |
270600260
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.65 |
| Max. Negotiated Rate |
$34.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.65
|
|
|
PURACOL+COL 4.25x4.5 MSC8644EP
|
Facility
|
OP
|
$199.03
|
|
| Hospital Charge Code |
270640869
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$25.87 |
| Max. Negotiated Rate |
$99.52 |
| Rate for Payer: Aetna Commercial |
$59.71
|
| Rate for Payer: Aetna Medicare Advantage |
$59.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$50.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$50.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$50.75
|
| Rate for Payer: Cigna Commercial |
$99.52
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$25.87
|
| Rate for Payer: Oxford Commercial |
$99.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$99.52
|
|