|
BIT DRILL 2.3x125mm
|
Facility
|
OP
|
$601.20
|
|
| Hospital Charge Code |
270671846
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.16 |
| Max. Negotiated Rate |
$300.60 |
| Rate for Payer: Aetna Commercial |
$180.36
|
| Rate for Payer: Aetna Medicare Advantage |
$180.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$153.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$153.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$153.31
|
| Rate for Payer: Cigna Commercial |
$300.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$78.16
|
| Rate for Payer: Oxford Commercial |
$300.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$90.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$300.60
|
|
|
BIT DRILL 2.4MM
|
Facility
|
OP
|
$395.00
|
|
| Hospital Charge Code |
270677000
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.35 |
| Max. Negotiated Rate |
$197.50 |
| Rate for Payer: Aetna Commercial |
$118.50
|
| Rate for Payer: Aetna Medicare Advantage |
$118.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$100.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$100.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$100.72
|
| Rate for Payer: Cigna Commercial |
$197.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$51.35
|
| Rate for Payer: Oxford Commercial |
$197.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$197.50
|
|
|
BIT DRILL 2.4MM
|
Facility
|
IP
|
$395.00
|
|
| Hospital Charge Code |
270677000
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$59.25 |
| Max. Negotiated Rate |
$59.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.25
|
|
|
BIT DRILL 2.5
|
Facility
|
IP
|
$640.00
|
|
| Hospital Charge Code |
270648302
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$96.00 |
| Max. Negotiated Rate |
$96.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.00
|
|
|
BIT DRILL 2.5
|
Facility
|
OP
|
$640.00
|
|
| Hospital Charge Code |
270648302
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$83.20 |
| Max. Negotiated Rate |
$320.00 |
| Rate for Payer: Aetna Commercial |
$192.00
|
| Rate for Payer: Aetna Medicare Advantage |
$192.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$163.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$163.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$163.20
|
| Rate for Payer: Cigna Commercial |
$320.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$83.20
|
| Rate for Payer: Oxford Commercial |
$320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$320.00
|
|
|
BIT DRILL 2.5*100 MM
|
Facility
|
OP
|
$640.00
|
|
| Hospital Charge Code |
270648247
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$83.20 |
| Max. Negotiated Rate |
$320.00 |
| Rate for Payer: Aetna Commercial |
$192.00
|
| Rate for Payer: Aetna Medicare Advantage |
$192.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$163.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$163.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$163.20
|
| Rate for Payer: Cigna Commercial |
$320.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$83.20
|
| Rate for Payer: Oxford Commercial |
$320.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$320.00
|
|
|
BIT DRILL 2.5*100 MM
|
Facility
|
IP
|
$640.00
|
|
| Hospital Charge Code |
270648247
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$96.00 |
| Max. Negotiated Rate |
$96.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$96.00
|
|
|
BIT DRILL 2.5 700347
|
Facility
|
OP
|
$681.10
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270648056
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$102.17 |
| Max. Negotiated Rate |
$340.55 |
| Rate for Payer: Aetna Commercial |
$204.33
|
| Rate for Payer: Aetna Medicare Advantage |
$204.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$173.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$173.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$136.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$173.68
|
| Rate for Payer: Cigna Commercial |
$340.55
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$164.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.17
|
|
|
BIT DRILL 2.5 700347
|
Facility
|
IP
|
$681.10
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
270648056
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$102.17 |
| Max. Negotiated Rate |
$164.83 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$136.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$164.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$102.17
|
|
|
BIT DRILL 2.5mm DB2.5
|
Facility
|
OP
|
$396.85
|
|
| Hospital Charge Code |
270635666
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.59 |
| Max. Negotiated Rate |
$198.43 |
| Rate for Payer: Aetna Commercial |
$119.06
|
| Rate for Payer: Aetna Medicare Advantage |
$119.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$101.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$101.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$101.20
|
| Rate for Payer: Cigna Commercial |
$198.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$51.59
|
| Rate for Payer: Oxford Commercial |
$198.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$198.43
|
|
|
BIT DRILL 2.5mm DB2.5
|
Facility
|
IP
|
$396.85
|
|
| Hospital Charge Code |
270635666
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$59.53 |
| Max. Negotiated Rate |
$59.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$59.53
|
|
|
BIT DRILL 2.5MM X 11MM DB25110
|
Facility
|
OP
|
$345.00
|
|
| Hospital Charge Code |
270643378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.85 |
| Max. Negotiated Rate |
$172.50 |
| Rate for Payer: Aetna Commercial |
$103.50
|
| Rate for Payer: Aetna Medicare Advantage |
$103.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$87.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$87.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$87.97
|
| Rate for Payer: Cigna Commercial |
$172.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$44.85
|
| Rate for Payer: Oxford Commercial |
$172.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$51.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$172.50
|
|
|
BIT DRILL 2.5MM X 11MM DB25110
|
Facility
|
IP
|
$345.00
|
|
| Hospital Charge Code |
270643378
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.75 |
| Max. Negotiated Rate |
$51.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$51.75
|
|
|
BIT DRILL 2.5 X 110 D825110
|
Facility
|
IP
|
$345.00
|
|
| Hospital Charge Code |
270643573
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.75 |
| Max. Negotiated Rate |
$51.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$51.75
|
|
|
BIT DRILL 2.5 X 110 D825110
|
Facility
|
OP
|
$345.00
|
|
| Hospital Charge Code |
270643573
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$44.85 |
| Max. Negotiated Rate |
$172.50 |
| Rate for Payer: Aetna Commercial |
$103.50
|
| Rate for Payer: Aetna Medicare Advantage |
$103.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$87.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$87.97
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$87.97
|
| Rate for Payer: Cigna Commercial |
$172.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$44.85
|
| Rate for Payer: Oxford Commercial |
$172.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$51.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$172.50
|
|
|
BIT DRILL 2.5x95mm GOLD
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270604450
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.97 |
| Max. Negotiated Rate |
$153.72 |
| Rate for Payer: Aetna Commercial |
$92.23
|
| Rate for Payer: Aetna Medicare Advantage |
$92.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78.40
|
| Rate for Payer: Cigna Commercial |
$153.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.97
|
| Rate for Payer: Oxford Commercial |
$153.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$153.72
|
|
|
BIT DRILL 2.5x95mm GOLD
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270604450
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILL 2.6MM 703702
|
Facility
|
IP
|
$1,125.00
|
|
| Hospital Charge Code |
270648598
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$168.75 |
| Max. Negotiated Rate |
$168.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
|
|
BIT DRILL 2.6MM 703702
|
Facility
|
OP
|
$1,125.00
|
|
| Hospital Charge Code |
270648598
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$562.50 |
| Rate for Payer: Aetna Commercial |
$337.50
|
| Rate for Payer: Aetna Medicare Advantage |
$337.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$286.88
|
| Rate for Payer: Cigna Commercial |
$562.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$146.25
|
| Rate for Payer: Oxford Commercial |
$562.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$562.50
|
|
|
BIT DRILL 2.7*100 MM
|
Facility
|
IP
|
$695.00
|
|
| Hospital Charge Code |
270648248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$104.25 |
| Max. Negotiated Rate |
$104.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$104.25
|
|
|
BIT DRILL 2.7*100 MM
|
Facility
|
OP
|
$695.00
|
|
| Hospital Charge Code |
270648248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$90.35 |
| Max. Negotiated Rate |
$347.50 |
| Rate for Payer: Aetna Commercial |
$208.50
|
| Rate for Payer: Aetna Medicare Advantage |
$208.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$177.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$177.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$177.22
|
| Rate for Payer: Cigna Commercial |
$347.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$90.35
|
| Rate for Payer: Oxford Commercial |
$347.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$104.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$347.50
|
|
|
BIT DRILL 2.7MM
|
Facility
|
OP
|
$525.00
|
|
| Hospital Charge Code |
270647952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$68.25 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna Commercial |
$157.50
|
| Rate for Payer: Aetna Medicare Advantage |
$157.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$133.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$133.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$133.88
|
| Rate for Payer: Cigna Commercial |
$262.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$68.25
|
| Rate for Payer: Oxford Commercial |
$262.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$78.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$262.50
|
|
|
BIT DRILL 2.7MM
|
Facility
|
IP
|
$525.00
|
|
| Hospital Charge Code |
270647952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.75 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$78.75
|
|
|
BIT DRILL 2.7mm X100mm D82710
|
Facility
|
OP
|
$190.00
|
|
| Hospital Charge Code |
270643574
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.70 |
| Max. Negotiated Rate |
$95.00 |
| Rate for Payer: Aetna Commercial |
$57.00
|
| Rate for Payer: Aetna Medicare Advantage |
$57.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$48.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$48.45
|
| Rate for Payer: Cigna Commercial |
$95.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.70
|
| Rate for Payer: Oxford Commercial |
$95.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$95.00
|
|
|
BIT DRILL 2.7mm X100mm D82710
|
Facility
|
IP
|
$190.00
|
|
| Hospital Charge Code |
270643574
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.50 |
| Max. Negotiated Rate |
$28.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.50
|
|