|
TUMARK EVIVA X 251 551
|
Facility
|
OP
|
$325.00
|
|
| Hospital Charge Code |
270669922R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.25 |
| Max. Negotiated Rate |
$162.50 |
| Rate for Payer: Aetna Commercial |
$97.50
|
| Rate for Payer: Aetna Medicare Advantage |
$97.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$82.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$82.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$82.88
|
| Rate for Payer: Cigna Commercial |
$162.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.25
|
| Rate for Payer: Oxford Commercial |
$162.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$48.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$162.50
|
|
|
TUMBLER 10OZ
|
Facility
|
OP
|
$2.45
|
|
| Hospital Charge Code |
270300500
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.32 |
| Max. Negotiated Rate |
$1.23 |
| Rate for Payer: Aetna Commercial |
$0.74
|
| Rate for Payer: Aetna Medicare Advantage |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.62
|
| Rate for Payer: Cigna Commercial |
$1.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.32
|
| Rate for Payer: Oxford Commercial |
$1.23
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.37
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.23
|
|
|
TUMBLER 10OZ
|
Facility
|
IP
|
$2.45
|
|
| Hospital Charge Code |
270300500
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.37 |
| Max. Negotiated Rate |
$0.37 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.37
|
|
|
TUMOR NECROSIS FACTOR
|
Facility
|
OP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3009842
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$8.63 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Aetna Commercial |
$55.95
|
| Rate for Payer: Aetna Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$17.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$13.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.28
|
| Rate for Payer: Cigna Commercial |
$17.27
|
| Rate for Payer: Cigna Medicare Advantage |
$8.63
|
| Rate for Payer: Clover Medicare Advantage |
$16.41
|
| Rate for Payer: EmblemHealth Commercial |
$51.81
|
| Rate for Payer: Humana Medicare Advantage |
$17.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.74
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$17.27
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$18.31
|
| Rate for Payer: Wellcare Medicare Advantage |
$17.27
|
|
|
TUMOR NECROSIS FACTOR
|
Facility
|
IP
|
$998.00
|
|
|
Service Code
|
HCPCS 83520
|
| Hospital Charge Code |
3009842
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$149.70 |
| Max. Negotiated Rate |
$149.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$149.70
|
|
|
TUMS/500MG/TAB
|
Facility
|
OP
|
$4.00
|
|
|
Service Code
|
NDC 536104815
|
| Hospital Charge Code |
60634097
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$2.00 |
| Rate for Payer: Aetna Commercial |
$1.20
|
| Rate for Payer: Aetna Medicare Advantage |
$1.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.02
|
| Rate for Payer: Cigna Commercial |
$2.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.52
|
| Rate for Payer: Oxford Commercial |
$2.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.00
|
|
|
TUMS/500MG/TAB
|
Facility
|
IP
|
$4.00
|
|
|
Service Code
|
NDC 536104815
|
| Hospital Charge Code |
60634097
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.60 |
| Max. Negotiated Rate |
$0.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.60
|
|
|
TUNA IGE
|
Facility
|
IP
|
$390.00
|
|
|
Service Code
|
HCPCS 86003
|
| Hospital Charge Code |
401186003H
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
TUNA IGE
|
Facility
|
OP
|
$390.00
|
|
|
Service Code
|
HCPCS 86003
|
| Hospital Charge Code |
401186003H
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$2.61 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$16.91
|
| Rate for Payer: Aetna Medicare Advantage |
$5.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$5.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$37.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.13
|
| Rate for Payer: Cigna Commercial |
$5.22
|
| Rate for Payer: Cigna Medicare Advantage |
$2.61
|
| Rate for Payer: Clover Medicare Advantage |
$4.96
|
| Rate for Payer: EmblemHealth Commercial |
$15.66
|
| Rate for Payer: Humana Medicare Advantage |
$5.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.70
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$5.22
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$5.53
|
| Rate for Payer: Wellcare Medicare Advantage |
$5.22
|
|
|
TUNNELER CHEMOSITE
|
Facility
|
OP
|
$1,032.00
|
|
| Hospital Charge Code |
270605596
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$134.16 |
| Max. Negotiated Rate |
$516.00 |
| Rate for Payer: Aetna Commercial |
$309.60
|
| Rate for Payer: Aetna Medicare Advantage |
$309.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.16
|
| Rate for Payer: Cigna Commercial |
$516.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$134.16
|
| Rate for Payer: Oxford Commercial |
$516.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$154.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$516.00
|
|
|
TUNNELER CHEMOSITE
|
Facility
|
IP
|
$1,032.00
|
|
| Hospital Charge Code |
270605596
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$154.80 |
| Max. Negotiated Rate |
$154.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$154.80
|
|
|
TUNNELER DISPOSABLE SCANLAN
|
Facility
|
OP
|
$189.00
|
|
| Hospital Charge Code |
270335287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.57 |
| Max. Negotiated Rate |
$94.50 |
| Rate for Payer: Aetna Commercial |
$56.70
|
| Rate for Payer: Aetna Medicare Advantage |
$56.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$48.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$48.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$48.20
|
| Rate for Payer: Cigna Commercial |
$94.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.57
|
| Rate for Payer: Oxford Commercial |
$94.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$94.50
|
|
|
TUNNELER DISPOSABLE SCANLAN
|
Facility
|
IP
|
$189.00
|
|
| Hospital Charge Code |
270335287
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.35 |
| Max. Negotiated Rate |
$28.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.35
|
|
|
TUNNELER HORIZON STRATO TUN100
|
Facility
|
OP
|
$153.65
|
|
| Hospital Charge Code |
270615957
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.97 |
| Max. Negotiated Rate |
$76.83 |
| Rate for Payer: Aetna Commercial |
$46.09
|
| Rate for Payer: Aetna Medicare Advantage |
$46.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$39.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$39.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$39.18
|
| Rate for Payer: Cigna Commercial |
$76.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.97
|
| Rate for Payer: Oxford Commercial |
$76.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.83
|
|
|
TUNNELER HORIZON STRATO TUN100
|
Facility
|
IP
|
$153.65
|
|
| Hospital Charge Code |
270615957
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.05 |
| Max. Negotiated Rate |
$23.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$23.05
|
|
|
TUNNELER W/ SHEATH 17GAx10IN
|
Facility
|
IP
|
$150.00
|
|
| Hospital Charge Code |
270650399
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.50 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.50
|
|
|
TUNNELER W/ SHEATH 17GAx10IN
|
Facility
|
OP
|
$150.00
|
|
| Hospital Charge Code |
270650399
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.50 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Aetna Commercial |
$45.00
|
| Rate for Payer: Aetna Medicare Advantage |
$45.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$38.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$38.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$38.25
|
| Rate for Payer: Cigna Commercial |
$75.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.50
|
| Rate for Payer: Oxford Commercial |
$75.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.00
|
|
|
TUNNELING 35 CM TOOL
|
Facility
|
IP
|
$1,500.00
|
|
| Hospital Charge Code |
270679694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$225.00 |
| Max. Negotiated Rate |
$225.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$225.00
|
|
|
TUNNELING 35 CM TOOL
|
Facility
|
OP
|
$1,500.00
|
|
| Hospital Charge Code |
270679694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$195.00 |
| Max. Negotiated Rate |
$750.00 |
| Rate for Payer: Aetna Commercial |
$450.00
|
| Rate for Payer: Aetna Medicare Advantage |
$450.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$382.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$382.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$382.50
|
| Rate for Payer: Cigna Commercial |
$750.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$195.00
|
| Rate for Payer: Oxford Commercial |
$750.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$225.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$750.00
|
|
|
TUNNELING TOOL 12
|
Facility
|
OP
|
$275.00
|
|
| Hospital Charge Code |
270694158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.75 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$82.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.75
|
| Rate for Payer: Oxford Commercial |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$137.50
|
|
|
TUNNELING TOOL 12
|
Facility
|
IP
|
$275.00
|
|
| Hospital Charge Code |
270694158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
Tunneling Tool 20
|
Facility
|
OP
|
$275.00
|
|
| Hospital Charge Code |
270673712
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.75 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$82.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.75
|
| Rate for Payer: Oxford Commercial |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$137.50
|
|
|
Tunneling Tool 20
|
Facility
|
IP
|
$275.00
|
|
| Hospital Charge Code |
270673712
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
TUNNELING TOOL KIT NEUROST NEV
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270693284
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.75 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$112.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$48.75
|
| Rate for Payer: Oxford Commercial |
$187.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$187.50
|
|
|
TUNNELING TOOL KIT NEUROST NEV
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270693284
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|