|
SCREW HEADED 6.5x40MM
|
Facility
|
IP
|
$1,750.00
|
|
| Hospital Charge Code |
270656800
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$423.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 6.5x40MM
|
Facility
|
OP
|
$1,750.00
|
|
| Hospital Charge Code |
270656800
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$525.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 6.5x60MM
|
Facility
|
OP
|
$1,750.00
|
|
| Hospital Charge Code |
270656803
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$525.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 6.5x60MM
|
Facility
|
IP
|
$1,750.00
|
|
| Hospital Charge Code |
270656803
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$423.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 6.5x75MM
|
Facility
|
OP
|
$1,750.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270673593
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$525.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 6.5x75MM
|
Facility
|
IP
|
$1,750.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270673593
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$423.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 6.5x80MM
|
Facility
|
IP
|
$1,750.00
|
|
| Hospital Charge Code |
270656823
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$423.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 6.5x80MM
|
Facility
|
OP
|
$1,750.00
|
|
| Hospital Charge Code |
270656823
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$525.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$350.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$423.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
SCREW HEADED 7.5x100MM
|
Facility
|
OP
|
$1,890.00
|
|
| Hospital Charge Code |
270656804
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: Aetna Commercial |
$567.00
|
| Rate for Payer: Aetna Medicare Advantage |
$567.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$481.95
|
| Rate for Payer: Cigna Commercial |
$945.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x100MM
|
Facility
|
IP
|
$1,890.00
|
|
| Hospital Charge Code |
270656804
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$457.38 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x120MM
|
Facility
|
IP
|
$1,890.00
|
|
| Hospital Charge Code |
270656777
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$457.38 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x120MM
|
Facility
|
OP
|
$1,890.00
|
|
| Hospital Charge Code |
270656807
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: Aetna Commercial |
$567.00
|
| Rate for Payer: Aetna Medicare Advantage |
$567.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$481.95
|
| Rate for Payer: Cigna Commercial |
$945.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x120MM
|
Facility
|
IP
|
$1,890.00
|
|
| Hospital Charge Code |
270656807
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$457.38 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x120MM
|
Facility
|
OP
|
$1,890.00
|
|
| Hospital Charge Code |
270656777
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: Aetna Commercial |
$567.00
|
| Rate for Payer: Aetna Medicare Advantage |
$567.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$481.95
|
| Rate for Payer: Cigna Commercial |
$945.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x70MM
|
Facility
|
OP
|
$1,890.00
|
|
| Hospital Charge Code |
270674144
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: Aetna Commercial |
$567.00
|
| Rate for Payer: Aetna Medicare Advantage |
$567.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$481.95
|
| Rate for Payer: Cigna Commercial |
$945.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x70MM
|
Facility
|
IP
|
$1,890.00
|
|
| Hospital Charge Code |
270674144
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$457.38 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x75MM
|
Facility
|
OP
|
$1,890.00
|
|
| Hospital Charge Code |
270674141
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: Aetna Commercial |
$567.00
|
| Rate for Payer: Aetna Medicare Advantage |
$567.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$481.95
|
| Rate for Payer: Cigna Commercial |
$945.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x75MM
|
Facility
|
IP
|
$1,890.00
|
|
| Hospital Charge Code |
270674141
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$457.38 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x95MM
|
Facility
|
OP
|
$1,890.00
|
|
| Hospital Charge Code |
270656824
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: Aetna Commercial |
$567.00
|
| Rate for Payer: Aetna Medicare Advantage |
$567.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$481.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$481.95
|
| Rate for Payer: Cigna Commercial |
$945.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED 7.5x95MM
|
Facility
|
IP
|
$1,890.00
|
|
| Hospital Charge Code |
270656824
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$283.50 |
| Max. Negotiated Rate |
$457.38 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$378.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$457.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$283.50
|
|
|
SCREW HEADED MM SHRT TH 4X34MM
|
Facility
|
IP
|
$1,086.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270700172
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$162.94 |
| Max. Negotiated Rate |
$262.87 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$217.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$262.87
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$162.94
|
|
|
SCREW HEADED MM SHRT TH 4X34MM
|
Facility
|
OP
|
$1,086.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270700172
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$162.94 |
| Max. Negotiated Rate |
$543.12 |
| Rate for Payer: Aetna Commercial |
$325.88
|
| Rate for Payer: Aetna Medicare Advantage |
$325.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$276.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$276.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$217.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$276.99
|
| Rate for Payer: Cigna Commercial |
$543.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$262.87
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$162.94
|
|
|
SCREW HEADED SHORT 4.0x36MM
|
Facility
|
OP
|
$1,135.00
|
|
| Hospital Charge Code |
270674143
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$567.50 |
| Rate for Payer: Aetna Commercial |
$340.50
|
| Rate for Payer: Aetna Medicare Advantage |
$340.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$289.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$289.43
|
| Rate for Payer: Cigna Commercial |
$567.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
SCREW HEADED SHORT 4.0x36MM
|
Facility
|
IP
|
$1,135.00
|
|
| Hospital Charge Code |
270674143
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$170.25 |
| Max. Negotiated Rate |
$274.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$227.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$274.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$170.25
|
|
|
SCREW HEADLEDDCOMP 4.3 36MM
|
Facility
|
IP
|
$1,875.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270687934
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$281.25 |
| Max. Negotiated Rate |
$453.75 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$453.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$281.25
|
|