|
SCREW SYN CORT TITN 26MM
|
Facility
|
OP
|
$72.85
|
|
| Hospital Charge Code |
270601836
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.93 |
| Max. Negotiated Rate |
$36.42 |
| Rate for Payer: Aetna Commercial |
$21.86
|
| Rate for Payer: Aetna Medicare Advantage |
$21.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.58
|
| Rate for Payer: Cigna Commercial |
$36.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.63
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.93
|
|
|
SCREW SYN CORT TITN 26MM
|
Facility
|
IP
|
$72.85
|
|
| Hospital Charge Code |
270601836
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.93 |
| Max. Negotiated Rate |
$17.63 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.63
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.93
|
|
|
SCREW SYN CORT TITN 28MM
|
Facility
|
OP
|
$76.85
|
|
| Hospital Charge Code |
270601837
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$38.42 |
| Rate for Payer: Aetna Commercial |
$23.05
|
| Rate for Payer: Aetna Medicare Advantage |
$23.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$15.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.60
|
| Rate for Payer: Cigna Commercial |
$38.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.53
|
|
|
SCREW SYN CORT TITN 28MM
|
Facility
|
IP
|
$76.85
|
|
| Hospital Charge Code |
270601837
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$18.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$15.37
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.53
|
|
|
SCREW SYN CORT TITN 30MM
|
Facility
|
OP
|
$72.85
|
|
| Hospital Charge Code |
270601838
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.93 |
| Max. Negotiated Rate |
$36.42 |
| Rate for Payer: Aetna Commercial |
$21.86
|
| Rate for Payer: Aetna Medicare Advantage |
$21.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.58
|
| Rate for Payer: Cigna Commercial |
$36.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.63
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.93
|
|
|
SCREW SYN CORT TITN 30MM
|
Facility
|
IP
|
$72.85
|
|
| Hospital Charge Code |
270601838
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.93 |
| Max. Negotiated Rate |
$17.63 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.63
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.93
|
|
|
SCREW SYN CORT TITN 32MM
|
Facility
|
IP
|
$71.25
|
|
| Hospital Charge Code |
270601839
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$17.24 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 32MM
|
Facility
|
OP
|
$71.25
|
|
| Hospital Charge Code |
270601839
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$35.62 |
| Rate for Payer: Aetna Commercial |
$21.38
|
| Rate for Payer: Aetna Medicare Advantage |
$21.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.17
|
| Rate for Payer: Cigna Commercial |
$35.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 34MM
|
Facility
|
OP
|
$71.25
|
|
| Hospital Charge Code |
270601840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$35.62 |
| Rate for Payer: Aetna Commercial |
$21.38
|
| Rate for Payer: Aetna Medicare Advantage |
$21.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.17
|
| Rate for Payer: Cigna Commercial |
$35.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 34MM
|
Facility
|
IP
|
$71.25
|
|
| Hospital Charge Code |
270601840
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$17.24 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 3.5/16MM
|
Facility
|
IP
|
$92.00
|
|
| Hospital Charge Code |
270603161
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13.80 |
| Max. Negotiated Rate |
$22.26 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.26
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
|
|
SCREW SYN CORT TITN 3.5/16MM
|
Facility
|
OP
|
$92.00
|
|
| Hospital Charge Code |
270603161
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13.80 |
| Max. Negotiated Rate |
$46.00 |
| Rate for Payer: Aetna Commercial |
$27.60
|
| Rate for Payer: Aetna Medicare Advantage |
$27.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.46
|
| Rate for Payer: Cigna Commercial |
$46.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.26
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
|
|
SCREW SYN CORT TITN 3.5/40MM
|
Facility
|
OP
|
$71.25
|
|
| Hospital Charge Code |
270601843
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$35.62 |
| Rate for Payer: Aetna Commercial |
$21.38
|
| Rate for Payer: Aetna Medicare Advantage |
$21.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.17
|
| Rate for Payer: Cigna Commercial |
$35.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 3.5/40MM
|
Facility
|
IP
|
$71.25
|
|
| Hospital Charge Code |
270601843
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$17.24 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 3.5/50MM
|
Facility
|
IP
|
$71.25
|
|
| Hospital Charge Code |
270601844
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$17.24 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 3.5/50MM
|
Facility
|
OP
|
$71.25
|
|
| Hospital Charge Code |
270601844
|
|
Hospital Revenue Code
|
274
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$35.62 |
| Rate for Payer: Aetna Commercial |
$21.38
|
| Rate for Payer: Aetna Medicare Advantage |
$21.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.17
|
| Rate for Payer: Cigna Commercial |
$35.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 36MM
|
Facility
|
OP
|
$76.85
|
|
| Hospital Charge Code |
270601841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$38.42 |
| Rate for Payer: Aetna Commercial |
$23.05
|
| Rate for Payer: Aetna Medicare Advantage |
$23.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$15.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.60
|
| Rate for Payer: Cigna Commercial |
$38.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.53
|
|
|
SCREW SYN CORT TITN 36MM
|
Facility
|
IP
|
$76.85
|
|
| Hospital Charge Code |
270601841
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$11.53 |
| Max. Negotiated Rate |
$18.60 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$15.37
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.53
|
|
|
SCREW SYN CORT TITN 38MM
|
Facility
|
IP
|
$71.25
|
|
| Hospital Charge Code |
270601842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$17.24 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TITN 38MM
|
Facility
|
OP
|
$71.25
|
|
| Hospital Charge Code |
270601842
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$35.62 |
| Rate for Payer: Aetna Commercial |
$21.38
|
| Rate for Payer: Aetna Medicare Advantage |
$21.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.17
|
| Rate for Payer: Cigna Commercial |
$35.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|
|
SCREW SYN CORT TT 1.5 11
|
Facility
|
IP
|
$192.85
|
|
| Hospital Charge Code |
270602976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$28.93 |
| Max. Negotiated Rate |
$46.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$38.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$46.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.93
|
|
|
SCREW SYN CORT TT 1.5 11
|
Facility
|
OP
|
$192.85
|
|
| Hospital Charge Code |
270602976
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$28.93 |
| Max. Negotiated Rate |
$96.42 |
| Rate for Payer: Aetna Commercial |
$57.85
|
| Rate for Payer: Aetna Medicare Advantage |
$57.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$38.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.18
|
| Rate for Payer: Cigna Commercial |
$96.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$46.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.93
|
|
|
SCREW SYN CORT TT 1.5 12
|
Facility
|
IP
|
$192.85
|
|
| Hospital Charge Code |
270602978
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$28.93 |
| Max. Negotiated Rate |
$46.67 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$38.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$46.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.93
|
|
|
SCREW SYN CORT TT 1.5 12
|
Facility
|
OP
|
$192.85
|
|
| Hospital Charge Code |
270602978
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$28.93 |
| Max. Negotiated Rate |
$96.42 |
| Rate for Payer: Aetna Commercial |
$57.85
|
| Rate for Payer: Aetna Medicare Advantage |
$57.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$38.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.18
|
| Rate for Payer: Cigna Commercial |
$96.42
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$46.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.93
|
|
|
SCREW SYN CORT TT 3.5 75 40475
|
Facility
|
OP
|
$71.25
|
|
| Hospital Charge Code |
270603180
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$10.69 |
| Max. Negotiated Rate |
$35.62 |
| Rate for Payer: Aetna Commercial |
$21.38
|
| Rate for Payer: Aetna Medicare Advantage |
$21.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$14.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.17
|
| Rate for Payer: Cigna Commercial |
$35.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.24
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.69
|
|