|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674831
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|
|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
OP
|
$290.50
|
|
| Hospital Charge Code |
270674802
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.77 |
| Max. Negotiated Rate |
$145.25 |
| Rate for Payer: Aetna Commercial |
$87.15
|
| Rate for Payer: Aetna Medicare Advantage |
$87.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$74.08
|
| Rate for Payer: Cigna Commercial |
$145.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$37.77
|
| Rate for Payer: Oxford Commercial |
$145.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$145.25
|
|
|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674831
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.41 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$95.55
|
| Rate for Payer: Aetna Medicare Advantage |
$95.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.22
|
| Rate for Payer: Cigna Commercial |
$159.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.41
|
| Rate for Payer: Oxford Commercial |
$159.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$159.25
|
|
|
SAW BLADE 14x50x0.6MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674802
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$43.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
|
|
SAW BLADE 14x50x0.6MM CUT STR
|
Facility
|
IP
|
$332.50
|
|
| Hospital Charge Code |
270674832
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.88 |
| Max. Negotiated Rate |
$49.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
|
|
SAW BLADE 14x50x0.6MM CUT STR
|
Facility
|
OP
|
$332.50
|
|
| Hospital Charge Code |
270674832
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.23 |
| Max. Negotiated Rate |
$166.25 |
| Rate for Payer: Aetna Commercial |
$99.75
|
| Rate for Payer: Aetna Medicare Advantage |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$84.79
|
| Rate for Payer: Cigna Commercial |
$166.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.23
|
| Rate for Payer: Oxford Commercial |
$166.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$166.25
|
|
|
SAW BLADE 14x6.4x0.6MM REC SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674660
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 14x6.4x0.6MM REC SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674660
|
|
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
|
|
|
SAW BLADE 15x10x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674643
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 15x10x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674643
|
|
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
|
|
|
SAW BLADE 15x16x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674646
|
|
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
|
|
|
SAW BLADE 15x16x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674646
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 15x6x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674639
|
|
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
|
|
|
SAW BLADE 15x6x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674639
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 16x10x0.4MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674812
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.41 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$95.55
|
| Rate for Payer: Aetna Medicare Advantage |
$95.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.22
|
| Rate for Payer: Cigna Commercial |
$159.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.41
|
| Rate for Payer: Oxford Commercial |
$159.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$159.25
|
|
|
SAW BLADE 16x10x0.4MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674812
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|
|
SAW BLADE 16x10x0.4MM CUT STR
|
Facility
|
OP
|
$332.50
|
|
| Hospital Charge Code |
270674813
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.23 |
| Max. Negotiated Rate |
$166.25 |
| Rate for Payer: Aetna Commercial |
$99.75
|
| Rate for Payer: Aetna Medicare Advantage |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$84.79
|
| Rate for Payer: Cigna Commercial |
$166.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.23
|
| Rate for Payer: Oxford Commercial |
$166.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$166.25
|
|
|
SAW BLADE 16x10x0.4MM CUT STR
|
Facility
|
IP
|
$332.50
|
|
| Hospital Charge Code |
270674813
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.88 |
| Max. Negotiated Rate |
$49.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
|
|
SAW BLADE 18x2.5x0.38MM SAG
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674653
|
|
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
|
|
|
SAW BLADE 18x2.5x0.38MM SAG
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674653
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 18x4x0.38MM SAG SAW
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674638
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
SAW BLADE 18x4x0.38MM SAG SAW
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674638
|
|
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
|
|
|
SAW BLADE 18x70x1.2MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674794
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$43.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
|
|
SAW BLADE 18x70x1.2MM CUT
|
Facility
|
OP
|
$290.50
|
|
| Hospital Charge Code |
270674794
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.77 |
| Max. Negotiated Rate |
$145.25 |
| Rate for Payer: Aetna Commercial |
$87.15
|
| Rate for Payer: Aetna Medicare Advantage |
$87.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$74.08
|
| Rate for Payer: Cigna Commercial |
$145.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$37.77
|
| Rate for Payer: Oxford Commercial |
$145.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$145.25
|
|
|
SAW BLADE 19x70x1.0MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674790
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$43.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
|