|
VACURETTE CRVD TIP 9mm
|
Facility
|
IP
|
$6.15
|
|
| Hospital Charge Code |
270649250
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.92 |
| Max. Negotiated Rate |
$0.92 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.92
|
|
|
VACURETTE CRVD TIP 9mm
|
Facility
|
OP
|
$6.15
|
|
| Hospital Charge Code |
270649250
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.80 |
| Max. Negotiated Rate |
$3.08 |
| Rate for Payer: Aetna Commercial |
$1.84
|
| Rate for Payer: Aetna Medicare Advantage |
$1.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.57
|
| Rate for Payer: Cigna Commercial |
$3.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.80
|
| Rate for Payer: Oxford Commercial |
$3.08
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.92
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.08
|
|
|
VACURETTE CURVED TIP 5FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270330814
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE CURVED TIP 5FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270330814
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.55 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$10.50
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.55
|
| Rate for Payer: Oxford Commercial |
$17.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.50
|
|
|
VACURETTE FLEX TIP 5mm
|
Facility
|
IP
|
$24.50
|
|
| Hospital Charge Code |
270649252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
|
|
VACURETTE FLEX TIP 5mm
|
Facility
|
OP
|
$24.50
|
|
| Hospital Charge Code |
270649252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.19 |
| Max. Negotiated Rate |
$12.25 |
| Rate for Payer: Aetna Commercial |
$7.35
|
| Rate for Payer: Aetna Medicare Advantage |
$7.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.25
|
| Rate for Payer: Cigna Commercial |
$12.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.19
|
| Rate for Payer: Oxford Commercial |
$12.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.25
|
|
|
VACURETTE FLEX TIP 6MM
|
Facility
|
OP
|
$23.08
|
|
| Hospital Charge Code |
270649254
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$11.54 |
| Rate for Payer: Aetna Commercial |
$6.92
|
| Rate for Payer: Aetna Medicare Advantage |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.89
|
| Rate for Payer: Cigna Commercial |
$11.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.00
|
| Rate for Payer: Oxford Commercial |
$11.54
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.54
|
|
|
VACURETTE FLEX TIP 6MM
|
Facility
|
IP
|
$23.08
|
|
| Hospital Charge Code |
270649254
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
|
|
VACURETTE FLEX TIP 7mm
|
Facility
|
IP
|
$23.08
|
|
| Hospital Charge Code |
270649251
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
|
|
VACURETTE FLEX TIP 7mm
|
Facility
|
OP
|
$23.08
|
|
| Hospital Charge Code |
270649251
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$11.54 |
| Rate for Payer: Aetna Commercial |
$6.92
|
| Rate for Payer: Aetna Medicare Advantage |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.89
|
| Rate for Payer: Cigna Commercial |
$11.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.00
|
| Rate for Payer: Oxford Commercial |
$11.54
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.54
|
|
|
VACURETTE F TIP 6FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE F TIP 6FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.55 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$10.50
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.55
|
| Rate for Payer: Oxford Commercial |
$17.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.50
|
|
|
VACURETTE F TIP 7FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE F TIP 7FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.55 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$10.50
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.55
|
| Rate for Payer: Oxford Commercial |
$17.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.50
|
|
|
VACURETTE F TIP 8FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331557
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.55 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$10.50
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.55
|
| Rate for Payer: Oxford Commercial |
$17.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.50
|
|
|
VACURETTE F TIP 8FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331557
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACUTAINER 100X16MM BLOOD COL
|
Facility
|
OP
|
$66.00
|
|
| Hospital Charge Code |
270331465
|
|
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
|
|
|
VACUTAINER 100X16MM BLOOD COL
|
Facility
|
IP
|
$66.00
|
|
| Hospital Charge Code |
270331465
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
|
|
VACUTAINER LAVENDER TOP 3ml
|
Facility
|
IP
|
$0.33
|
|
| Hospital Charge Code |
270649255
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
|
|
VACUTAINER LAVENDER TOP 3ml
|
Facility
|
OP
|
$0.33
|
|
| Hospital Charge Code |
270649255
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.04 |
| Max. Negotiated Rate |
$0.17 |
| Rate for Payer: Aetna Commercial |
$0.10
|
| Rate for Payer: Aetna Medicare Advantage |
$0.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.08
|
| Rate for Payer: Cigna Commercial |
$0.17
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.04
|
| Rate for Payer: Oxford Commercial |
$0.17
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.17
|
|
|
VACUTAINER LT BLUE 4.5ml
|
Facility
|
OP
|
$0.43
|
|
| Hospital Charge Code |
270650269
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$0.22 |
| Rate for Payer: Aetna Commercial |
$0.13
|
| Rate for Payer: Aetna Medicare Advantage |
$0.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.11
|
| Rate for Payer: Cigna Commercial |
$0.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.06
|
| Rate for Payer: Oxford Commercial |
$0.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.06
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.22
|
|
|
VACUTAINER LT BLUE 4.5ml
|
Facility
|
IP
|
$0.43
|
|
| Hospital Charge Code |
270650269
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.06 |
| Max. Negotiated Rate |
$0.06 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.06
|
|
|
VACUTAINER MINT GREEN STR
|
Facility
|
IP
|
$0.91
|
|
| Hospital Charge Code |
270649259
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.14 |
| Max. Negotiated Rate |
$0.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.14
|
|
|
VACUTAINER MINT GREEN STR
|
Facility
|
OP
|
$0.91
|
|
| Hospital Charge Code |
270649259
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.12 |
| Max. Negotiated Rate |
$0.46 |
| Rate for Payer: Aetna Commercial |
$0.27
|
| Rate for Payer: Aetna Medicare Advantage |
$0.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.23
|
| Rate for Payer: Cigna Commercial |
$0.46
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.12
|
| Rate for Payer: Oxford Commercial |
$0.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.46
|
|
|
VACUTAINER RED PLASTC 6ml
|
Facility
|
IP
|
$0.33
|
|
| Hospital Charge Code |
270637397
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$0.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.05
|
|