|
TRANSDUCER TRANSPAC IV
|
Facility
|
IP
|
$39.70
|
|
| Hospital Charge Code |
270641652
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.96 |
| Max. Negotiated Rate |
$5.96 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.96
|
|
|
TRANSDUCER W STOPCOCK K1100202
|
Facility
|
OP
|
$54.65
|
|
| Hospital Charge Code |
270629102
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.10 |
| Max. Negotiated Rate |
$27.32 |
| Rate for Payer: Aetna Commercial |
$16.39
|
| Rate for Payer: Aetna Medicare Advantage |
$16.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.94
|
| Rate for Payer: Cigna Commercial |
$27.32
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.10
|
| Rate for Payer: Oxford Commercial |
$27.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.32
|
|
|
TRANSDUCER W STOPCOCK K1100202
|
Facility
|
IP
|
$54.65
|
|
| Hospital Charge Code |
270629102
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.20 |
| Max. Negotiated Rate |
$8.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.20
|
|
|
TRANSDUC INTRAUTERINE CATH****
|
Facility
|
IP
|
$66.00
|
|
| Hospital Charge Code |
1801000
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
|
|
TRANSDUC INTRAUTERINE CATH****
|
Facility
|
OP
|
$66.00
|
|
| Hospital Charge Code |
1801000
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.58 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$19.80
|
| Rate for Payer: Aetna Medicare Advantage |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$33.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$8.58
|
| Rate for Payer: Oxford Commercial |
$33.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$33.00
|
|
|
TRANSESOPHA ECHO****
|
Facility
|
OP
|
$927.00
|
|
|
Service Code
|
HCPCS 93015
|
| Hospital Charge Code |
53000124
|
|
Hospital Revenue Code
|
739
|
| Min. Negotiated Rate |
$82.75 |
| Max. Negotiated Rate |
$603.00 |
| Rate for Payer: Aetna Commercial |
$278.10
|
| Rate for Payer: Aetna Medicare Advantage |
$278.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$236.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$236.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$394.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$236.38
|
| Rate for Payer: Cigna Commercial |
$82.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$120.51
|
| Rate for Payer: Oxford Commercial |
$531.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$139.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$603.00
|
|
|
TRANSESOPHA ECHO****
|
Facility
|
IP
|
$927.00
|
|
|
Service Code
|
HCPCS 93015
|
| Hospital Charge Code |
53000124
|
|
Hospital Revenue Code
|
739
|
| Min. Negotiated Rate |
$139.05 |
| Max. Negotiated Rate |
$139.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$139.05
|
|
|
TRANSESOPOGEAL ECHOCARDIOGRAPH
|
Facility
|
OP
|
$5,900.00
|
|
| Hospital Charge Code |
36540011
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$767.00 |
| Max. Negotiated Rate |
$2,950.00 |
| Rate for Payer: Aetna Commercial |
$1,770.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,770.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,504.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,504.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,504.50
|
| Rate for Payer: Cigna Commercial |
$2,950.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$767.00
|
| Rate for Payer: Oxford Commercial |
$1,514.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$885.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,719.00
|
|
|
TRANSESOPOGEAL ECHOCARDIOGRAPH
|
Facility
|
IP
|
$5,900.00
|
|
| Hospital Charge Code |
36540011
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$885.00 |
| Max. Negotiated Rate |
$885.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$885.00
|
|
|
Transfer Board Plastic Flat, 2
|
Facility
|
OP
|
$230.00
|
|
| Hospital Charge Code |
270665775
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$29.90 |
| Max. Negotiated Rate |
$115.00 |
| Rate for Payer: Aetna Commercial |
$69.00
|
| Rate for Payer: Aetna Medicare Advantage |
$69.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$58.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$58.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$58.65
|
| Rate for Payer: Cigna Commercial |
$115.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$29.90
|
| Rate for Payer: Oxford Commercial |
$115.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$115.00
|
|
|
Transfer Board Plastic Flat, 2
|
Facility
|
IP
|
$230.00
|
|
| Hospital Charge Code |
270665775
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.50 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$34.50
|
|
|
Transferrin
|
Facility
|
IP
|
$667.59
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
39888030
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$100.14 |
| Max. Negotiated Rate |
$100.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
|
|
Transferrin
|
Facility
|
OP
|
$667.59
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
39888030
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.38 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$46.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.75
|
| Rate for Payer: Cigna Commercial |
$12.76
|
| Rate for Payer: Cigna Medicare Advantage |
$6.38
|
| Rate for Payer: Clover Medicare Advantage |
$12.12
|
| Rate for Payer: EmblemHealth Commercial |
$38.28
|
| Rate for Payer: Humana Medicare Advantage |
$13.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$86.79
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$100.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.76
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.76
|
|
|
TRANSFERRIN
|
Facility
|
OP
|
$235.00
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
38472653
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.38 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$46.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.75
|
| Rate for Payer: Cigna Commercial |
$12.76
|
| Rate for Payer: Cigna Medicare Advantage |
$6.38
|
| Rate for Payer: Clover Medicare Advantage |
$12.12
|
| Rate for Payer: EmblemHealth Commercial |
$38.28
|
| Rate for Payer: Humana Medicare Advantage |
$13.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$30.55
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$35.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.76
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.76
|
|
|
TRANSFERRIN
|
Facility
|
IP
|
$87.75
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
39900425
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.16 |
| Max. Negotiated Rate |
$13.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.16
|
|
|
TRANSFERRIN
|
Facility
|
IP
|
$235.00
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
38472653
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$35.25 |
| Max. Negotiated Rate |
$35.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$35.25
|
|
|
TRANSFERRIN
|
Facility
|
OP
|
$87.75
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
39900425
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.38 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$46.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.75
|
| Rate for Payer: Cigna Commercial |
$12.76
|
| Rate for Payer: Cigna Medicare Advantage |
$6.38
|
| Rate for Payer: Clover Medicare Advantage |
$12.12
|
| Rate for Payer: EmblemHealth Commercial |
$38.28
|
| Rate for Payer: Humana Medicare Advantage |
$13.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.41
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.76
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.76
|
|
|
TRANSFERRIN-REF LAB
|
Facility
|
OP
|
$87.75
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
3038111
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$6.38 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$46.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.75
|
| Rate for Payer: Cigna Commercial |
$12.76
|
| Rate for Payer: Cigna Medicare Advantage |
$6.38
|
| Rate for Payer: Clover Medicare Advantage |
$12.12
|
| Rate for Payer: EmblemHealth Commercial |
$38.28
|
| Rate for Payer: Humana Medicare Advantage |
$13.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.41
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.76
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.76
|
|
|
TRANSFERRIN-REF LAB
|
Facility
|
IP
|
$87.75
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
3038111
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$13.16 |
| Max. Negotiated Rate |
$13.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.16
|
|
|
TRANSFERRIN SATURATION
|
Facility
|
IP
|
$17.97
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
8200331RS
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.70 |
| Max. Negotiated Rate |
$2.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.70
|
|
|
TRANSFERRIN SATURATION
|
Facility
|
OP
|
$17.97
|
|
|
Service Code
|
HCPCS 84466
|
| Hospital Charge Code |
8200331RS
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$2.34 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$41.34
|
| Rate for Payer: Aetna Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$46.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$12.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$46.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$46.75
|
| Rate for Payer: Cigna Commercial |
$12.76
|
| Rate for Payer: Cigna Medicare Advantage |
$6.38
|
| Rate for Payer: Clover Medicare Advantage |
$12.12
|
| Rate for Payer: EmblemHealth Commercial |
$38.28
|
| Rate for Payer: Humana Medicare Advantage |
$13.14
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.34
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$12.76
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$13.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$12.76
|
|
|
TRANSFIX BIO 40MM
|
Facility
|
OP
|
$760.00
|
|
| Hospital Charge Code |
270653013
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$114.00 |
| Max. Negotiated Rate |
$380.00 |
| Rate for Payer: Aetna Commercial |
$228.00
|
| Rate for Payer: Aetna Medicare Advantage |
$228.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$193.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$193.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$152.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$193.80
|
| Rate for Payer: Cigna Commercial |
$380.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$183.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$114.00
|
|
|
TRANSFIX BIO 40MM
|
Facility
|
IP
|
$760.00
|
|
| Hospital Charge Code |
270653013
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$114.00 |
| Max. Negotiated Rate |
$183.92 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$152.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$183.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$114.00
|
|
|
TRANSFIXING PIN APX 5/6 40X300
|
Facility
|
IP
|
$1,124.15
|
|
| Hospital Charge Code |
270703804
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$168.62 |
| Max. Negotiated Rate |
$168.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.62
|
|
|
TRANSFIXING PIN APX 5/6 40X300
|
Facility
|
OP
|
$1,124.15
|
|
| Hospital Charge Code |
270703804
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$146.14 |
| Max. Negotiated Rate |
$562.08 |
| Rate for Payer: Aetna Commercial |
$337.25
|
| Rate for Payer: Aetna Medicare Advantage |
$337.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$286.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$286.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$286.66
|
| Rate for Payer: Cigna Commercial |
$562.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$146.14
|
| Rate for Payer: Oxford Commercial |
$562.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$562.08
|
|