|
BIT DRILL CANN QC 12x190MM ST
|
Facility
|
OP
|
$2,447.30
|
|
| Hospital Charge Code |
270646675
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$318.15 |
| Max. Negotiated Rate |
$1,223.65 |
| Rate for Payer: Aetna Commercial |
$734.19
|
| Rate for Payer: Aetna Medicare Advantage |
$734.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$624.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$624.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$624.06
|
| Rate for Payer: Cigna Commercial |
$1,223.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$318.15
|
| Rate for Payer: Oxford Commercial |
$1,223.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$367.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,223.65
|
|
|
BIT DRILL CANN QC 2.7x160MM ST
|
Facility
|
IP
|
$2,157.85
|
|
| Hospital Charge Code |
270677977
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$323.68 |
| Max. Negotiated Rate |
$323.68 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.68
|
|
|
BIT DRILL CANN QC 2.7x160MM ST
|
Facility
|
OP
|
$2,157.85
|
|
| Hospital Charge Code |
270677977
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$280.52 |
| Max. Negotiated Rate |
$1,078.92 |
| Rate for Payer: Aetna Commercial |
$647.36
|
| Rate for Payer: Aetna Medicare Advantage |
$647.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$550.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$550.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$550.25
|
| Rate for Payer: Cigna Commercial |
$1,078.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$280.52
|
| Rate for Payer: Oxford Commercial |
$1,078.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,078.92
|
|
|
BIT DRILL CANN STEPPED 6/9MM
|
Facility
|
IP
|
$7,070.00
|
|
| Hospital Charge Code |
270675954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,060.50 |
| Max. Negotiated Rate |
$1,060.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,060.50
|
|
|
BIT DRILL CANN STEPPED 6/9MM
|
Facility
|
OP
|
$7,070.00
|
|
| Hospital Charge Code |
270675954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$919.10 |
| Max. Negotiated Rate |
$3,535.00 |
| Rate for Payer: Aetna Commercial |
$2,121.00
|
| Rate for Payer: Aetna Medicare Advantage |
$2,121.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,802.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,802.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,802.85
|
| Rate for Payer: Cigna Commercial |
$3,535.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$919.10
|
| Rate for Payer: Oxford Commercial |
$3,535.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,060.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$3,535.00
|
|
|
BIT DRILL CANNULATED 13.0MM
|
Facility
|
OP
|
$2,716.60
|
|
| Hospital Charge Code |
270688232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$353.16 |
| Max. Negotiated Rate |
$1,358.30 |
| Rate for Payer: Aetna Commercial |
$814.98
|
| Rate for Payer: Aetna Medicare Advantage |
$814.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$692.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$692.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$692.73
|
| Rate for Payer: Cigna Commercial |
$1,358.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$353.16
|
| Rate for Payer: Oxford Commercial |
$1,358.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$407.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,358.30
|
|
|
BIT DRILL CANNULATED 13.0MM
|
Facility
|
IP
|
$2,716.60
|
|
| Hospital Charge Code |
270688232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$407.49 |
| Max. Negotiated Rate |
$407.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$407.49
|
|
|
BIT DRILL CANNULATED 4.0MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270677564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$126.75 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$292.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$126.75
|
| Rate for Payer: Oxford Commercial |
$487.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$487.50
|
|
|
BIT DRILL CANNULATED 4.0MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270677564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
BIT DRILL CANNULATED 6.5mm
|
Facility
|
IP
|
$1,125.00
|
|
| Hospital Charge Code |
270637464
|
|
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 CANNULATED 6.5mm
|
Facility
|
OP
|
$1,125.00
|
|
| Hospital Charge Code |
270637464
|
|
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 CINCHLOCK FLEX HARD
|
Facility
|
OP
|
$1,275.00
|
|
| Hospital Charge Code |
270685173
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$165.75 |
| Max. Negotiated Rate |
$637.50 |
| Rate for Payer: Aetna Commercial |
$382.50
|
| Rate for Payer: Aetna Medicare Advantage |
$382.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$325.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$325.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$325.12
|
| Rate for Payer: Cigna Commercial |
$637.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$165.75
|
| Rate for Payer: Oxford Commercial |
$637.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$637.50
|
|
|
BIT DRILL CINCHLOCK FLEX HARD
|
Facility
|
IP
|
$1,275.00
|
|
| Hospital Charge Code |
270685173
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$191.25 |
| Max. Negotiated Rate |
$191.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.25
|
|
|
BIT DRILL CORTCL 1.9mm 2645019
|
Facility
|
IP
|
$875.00
|
|
| Hospital Charge Code |
270643922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$131.25 |
| Max. Negotiated Rate |
$131.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
|
|
BIT DRILL CORTCL 1.9mm 2645019
|
Facility
|
OP
|
$875.00
|
|
| Hospital Charge Code |
270643922
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$113.75 |
| Max. Negotiated Rate |
$437.50 |
| Rate for Payer: Aetna Commercial |
$262.50
|
| Rate for Payer: Aetna Medicare Advantage |
$262.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$223.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$223.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$223.12
|
| Rate for Payer: Cigna Commercial |
$437.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$113.75
|
| Rate for Payer: Oxford Commercial |
$437.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$131.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$437.50
|
|
|
BIT DRILL COUNTERSINK
|
Facility
|
IP
|
$1,400.00
|
|
| Hospital Charge Code |
270648360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$210.00 |
| Max. Negotiated Rate |
$210.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$210.00
|
|
|
BIT DRILL COUNTERSINK
|
Facility
|
OP
|
$1,400.00
|
|
| Hospital Charge Code |
270648360
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$182.00 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna Commercial |
$420.00
|
| Rate for Payer: Aetna Medicare Advantage |
$420.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$357.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$357.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$357.00
|
| Rate for Payer: Cigna Commercial |
$700.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$182.00
|
| Rate for Payer: Oxford Commercial |
$700.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$210.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$700.00
|
|
|
BIT DRILL F.A.S.T. 2.0m FDB2.0
|
Facility
|
OP
|
$396.85
|
|
| Hospital Charge Code |
270635665
|
|
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 F.A.S.T. 2.0m FDB2.0
|
Facility
|
IP
|
$396.85
|
|
| Hospital Charge Code |
270635665
|
|
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 HEMI REAMER 4.5x1.6
|
Facility
|
OP
|
$750.00
|
|
| Hospital Charge Code |
270676446
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$97.50 |
| Max. Negotiated Rate |
$375.00 |
| Rate for Payer: Aetna Commercial |
$225.00
|
| Rate for Payer: Aetna Medicare Advantage |
$225.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$191.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$191.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$191.25
|
| Rate for Payer: Cigna Commercial |
$375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$97.50
|
| Rate for Payer: Oxford Commercial |
$375.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$375.00
|
|
|
BIT DRILL HEMI REAMER 4.5x1.6
|
Facility
|
IP
|
$750.00
|
|
| Hospital Charge Code |
270676446
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$112.50 |
| Max. Negotiated Rate |
$112.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
|
|
BIT DRILL J-LATCH 1.8x90MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270652056
|
|
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 J-LATCH 1.8x90MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270652056
|
|
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 K WIRE
|
Facility
|
IP
|
$85.00
|
|
| Hospital Charge Code |
270648909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$12.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
|
|
BIT DRILL K WIRE
|
Facility
|
OP
|
$85.00
|
|
| Hospital Charge Code |
270648909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.05 |
| Max. Negotiated Rate |
$42.50 |
| Rate for Payer: Aetna Commercial |
$25.50
|
| Rate for Payer: Aetna Medicare Advantage |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.68
|
| Rate for Payer: Cigna Commercial |
$42.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.05
|
| Rate for Payer: Oxford Commercial |
$42.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.50
|
|