|
REAMER HEADED CANNULATED 9.5MM
|
Facility
|
IP
|
$1,075.00
|
|
| Hospital Charge Code |
270673803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$161.25 |
| Max. Negotiated Rate |
$161.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$161.25
|
|
|
REAMER HEADED CANNULATED 9MM
|
Facility
|
IP
|
$1,075.00
|
|
| Hospital Charge Code |
270652019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$161.25 |
| Max. Negotiated Rate |
$161.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$161.25
|
|
|
REAMER HEADED CANNULATED 9MM
|
Facility
|
OP
|
$1,075.00
|
|
| Hospital Charge Code |
270652019
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$139.75 |
| Max. Negotiated Rate |
$537.50 |
| Rate for Payer: Aetna Commercial |
$322.50
|
| Rate for Payer: Aetna Medicare Advantage |
$322.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$274.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$274.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$274.12
|
| Rate for Payer: Cigna Commercial |
$537.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$139.75
|
| Rate for Payer: Oxford Commercial |
$537.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$161.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$537.50
|
|
|
REAMER HOLLOW F/3.5/4.0MM SCRW
|
Facility
|
OP
|
$1,665.00
|
|
| Hospital Charge Code |
270676857
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$216.45 |
| Max. Negotiated Rate |
$832.50 |
| Rate for Payer: Aetna Commercial |
$499.50
|
| Rate for Payer: Aetna Medicare Advantage |
$499.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$424.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$424.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$424.57
|
| Rate for Payer: Cigna Commercial |
$832.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$216.45
|
| Rate for Payer: Oxford Commercial |
$832.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$249.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$832.50
|
|
|
REAMER HOLLOW F/3.5/4.0MM SCRW
|
Facility
|
IP
|
$1,665.00
|
|
| Hospital Charge Code |
270676857
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$249.75 |
| Max. Negotiated Rate |
$249.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$249.75
|
|
|
REAMER HOLLOW F/6.5/7.0MM SCRW
|
Facility
|
IP
|
$1,714.95
|
|
| Hospital Charge Code |
270654491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$257.24 |
| Max. Negotiated Rate |
$257.24 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$257.24
|
|
|
REAMER HOLLOW F/6.5/7.0MM SCRW
|
Facility
|
OP
|
$1,714.95
|
|
| Hospital Charge Code |
270654491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$222.94 |
| Max. Negotiated Rate |
$857.48 |
| Rate for Payer: Aetna Commercial |
$514.49
|
| Rate for Payer: Aetna Medicare Advantage |
$514.49
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$437.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$437.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$437.31
|
| Rate for Payer: Cigna Commercial |
$857.48
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$222.94
|
| Rate for Payer: Oxford Commercial |
$857.48
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$257.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$857.48
|
|
|
REAMER INBONE TALAR 10MM
|
Facility
|
IP
|
$855.00
|
|
| Hospital Charge Code |
270676978
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$128.25 |
| Max. Negotiated Rate |
$128.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$128.25
|
|
|
REAMER INBONE TALAR 10MM
|
Facility
|
OP
|
$855.00
|
|
| Hospital Charge Code |
270676978
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$111.15 |
| Max. Negotiated Rate |
$427.50 |
| Rate for Payer: Aetna Commercial |
$256.50
|
| Rate for Payer: Aetna Medicare Advantage |
$256.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$218.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$218.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$218.03
|
| Rate for Payer: Cigna Commercial |
$427.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.15
|
| Rate for Payer: Oxford Commercial |
$427.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$128.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$427.50
|
|
|
REAMER JOINT CONCAVE 20mm
|
Facility
|
OP
|
$1,920.00
|
|
| Hospital Charge Code |
270637497
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$249.60 |
| Max. Negotiated Rate |
$960.00 |
| Rate for Payer: Aetna Commercial |
$576.00
|
| Rate for Payer: Aetna Medicare Advantage |
$576.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$489.60
|
| Rate for Payer: Cigna Commercial |
$960.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$249.60
|
| Rate for Payer: Oxford Commercial |
$960.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$960.00
|
|
|
REAMER JOINT CONCAVE 20mm
|
Facility
|
IP
|
$1,920.00
|
|
| Hospital Charge Code |
270637497
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$288.00 |
| Max. Negotiated Rate |
$288.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
|
|
REAMER JOINT CONCAVE 24mm
|
Facility
|
IP
|
$1,920.00
|
|
| Hospital Charge Code |
270637499
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$288.00 |
| Max. Negotiated Rate |
$288.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
|
|
REAMER JOINT CONCAVE 24mm
|
Facility
|
OP
|
$1,920.00
|
|
| Hospital Charge Code |
270637499
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$249.60 |
| Max. Negotiated Rate |
$960.00 |
| Rate for Payer: Aetna Commercial |
$576.00
|
| Rate for Payer: Aetna Medicare Advantage |
$576.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$489.60
|
| Rate for Payer: Cigna Commercial |
$960.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$249.60
|
| Rate for Payer: Oxford Commercial |
$960.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$960.00
|
|
|
REAMER JOINT CONVEX 20mm
|
Facility
|
OP
|
$1,920.00
|
|
| Hospital Charge Code |
270637498
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$249.60 |
| Max. Negotiated Rate |
$960.00 |
| Rate for Payer: Aetna Commercial |
$576.00
|
| Rate for Payer: Aetna Medicare Advantage |
$576.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$489.60
|
| Rate for Payer: Cigna Commercial |
$960.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$249.60
|
| Rate for Payer: Oxford Commercial |
$960.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$960.00
|
|
|
REAMER JOINT CONVEX 20mm
|
Facility
|
IP
|
$1,920.00
|
|
| Hospital Charge Code |
270637498
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$288.00 |
| Max. Negotiated Rate |
$288.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
|
|
REAMER LINDEMANN 2.3x45MM J-LA
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674616
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
REAMER LINDEMANN 2.3x45MM J-LA
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674616
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.59 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$114.45
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$49.59
|
| Rate for Payer: Oxford Commercial |
$190.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$190.75
|
|
|
REAMER LINDEMANN 2.3x45MM MQC
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674568
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
REAMER LINDEMANN 2.3x45MM MQC
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674568
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.59 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$114.45
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$49.59
|
| Rate for Payer: Oxford Commercial |
$190.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$190.75
|
|
|
REAMER LINDEMANN L 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LINDEMANN L 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.97 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$129.15
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.97
|
| Rate for Payer: Oxford Commercial |
$215.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$215.25
|
|
|
REAMER LINDEMANN M 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674489
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LINDEMANN M 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674489
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.97 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$129.15
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.97
|
| Rate for Payer: Oxford Commercial |
$215.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$215.25
|
|
|
REAMER LINDEMANN S 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LINDEMANN S 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.97 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$129.15
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$55.97
|
| Rate for Payer: Oxford Commercial |
$215.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$215.25
|
|