|
BIT DRILL MINI QC 1.8x80MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270636271
|
|
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 MINI QC 1.8x80MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270636271
|
|
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 MINI QC 2.4x80MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270636272
|
|
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 MINI QC 2.4x80MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270636272
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILLO.35X4 K WIRE DOUBLE
|
Facility
|
OP
|
$175.00
|
|
| Hospital Charge Code |
270648910
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.75 |
| Max. Negotiated Rate |
$87.50 |
| Rate for Payer: Aetna Commercial |
$52.50
|
| Rate for Payer: Aetna Medicare Advantage |
$52.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44.62
|
| Rate for Payer: Cigna Commercial |
$87.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.75
|
| Rate for Payer: Oxford Commercial |
$87.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$87.50
|
|
|
BIT DRILLO.35X4 K WIRE DOUBLE
|
Facility
|
IP
|
$175.00
|
|
| Hospital Charge Code |
270648910
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.25 |
| Max. Negotiated Rate |
$26.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.25
|
|
|
BIT DRILLO.35X6 KWIRE DOUBLE
|
Facility
|
IP
|
$125.00
|
|
| Hospital Charge Code |
270648911
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.75 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.75
|
|
|
BIT DRILLO.35X6 KWIRE DOUBLE
|
Facility
|
OP
|
$125.00
|
|
| Hospital Charge Code |
270648911
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.25 |
| Max. Negotiated Rate |
$62.50 |
| Rate for Payer: Aetna Commercial |
$37.50
|
| Rate for Payer: Aetna Medicare Advantage |
$37.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$31.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$31.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$31.88
|
| Rate for Payer: Cigna Commercial |
$62.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.25
|
| Rate for Payer: Oxford Commercial |
$62.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$62.50
|
|
|
BIT DRIL LONG 2.0M QUK MSLDC20
|
Facility
|
OP
|
$250.00
|
|
| Hospital Charge Code |
270641016
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$32.50 |
| Max. Negotiated Rate |
$125.00 |
| Rate for Payer: Aetna Commercial |
$75.00
|
| Rate for Payer: Aetna Medicare Advantage |
$75.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.75
|
| Rate for Payer: Cigna Commercial |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.50
|
| Rate for Payer: Oxford Commercial |
$125.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$125.00
|
|
|
BIT DRIL LONG 2.0M QUK MSLDC20
|
Facility
|
IP
|
$250.00
|
|
| Hospital Charge Code |
270641016
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.50 |
| Max. Negotiated Rate |
$37.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
|
|
BIT DRILL QC 195mm
|
Facility
|
IP
|
$489.00
|
|
| Hospital Charge Code |
270663424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.35 |
| Max. Negotiated Rate |
$73.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.35
|
|
|
BIT DRILL QC 195mm
|
Facility
|
OP
|
$489.00
|
|
| Hospital Charge Code |
270663424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$63.57 |
| Max. Negotiated Rate |
$244.50 |
| Rate for Payer: Aetna Commercial |
$146.70
|
| Rate for Payer: Aetna Medicare Advantage |
$146.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$124.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$124.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$124.69
|
| Rate for Payer: Cigna Commercial |
$244.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$63.57
|
| Rate for Payer: Oxford Commercial |
$244.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$244.50
|
|
|
BIT DRILL QC 3.2 X 180MM
|
Facility
|
OP
|
$705.00
|
|
| Hospital Charge Code |
270665861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$91.65 |
| Max. Negotiated Rate |
$352.50 |
| Rate for Payer: Aetna Commercial |
$211.50
|
| Rate for Payer: Aetna Medicare Advantage |
$211.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$179.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$179.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$179.78
|
| Rate for Payer: Cigna Commercial |
$352.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$91.65
|
| Rate for Payer: Oxford Commercial |
$352.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$352.50
|
|
|
BIT DRILL QC 3.2 X 180MM
|
Facility
|
IP
|
$705.00
|
|
| Hospital Charge Code |
270665861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$105.75 |
| Max. Negotiated Rate |
$105.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.75
|
|
|
BIT DRILL QC 3.2x20mm RINGLOC
|
Facility
|
OP
|
$450.00
|
|
| Hospital Charge Code |
270642694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$225.00 |
| Rate for Payer: Aetna Commercial |
$135.00
|
| Rate for Payer: Aetna Medicare Advantage |
$135.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$114.75
|
| Rate for Payer: Cigna Commercial |
$225.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$58.50
|
| Rate for Payer: Oxford Commercial |
$225.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$225.00
|
|
|
BIT DRILL QC 3.2x20mm RINGLOC
|
Facility
|
IP
|
$450.00
|
|
| Hospital Charge Code |
270642694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
|
|
BIT DRILL QC 3.2x30mm RINGLOC
|
Facility
|
IP
|
$450.00
|
|
| Hospital Charge Code |
270642680
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
|
|
BIT DRILL QC 3.2x30mm RINGLOC
|
Facility
|
OP
|
$450.00
|
|
| Hospital Charge Code |
270642680
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$225.00 |
| Rate for Payer: Aetna Commercial |
$135.00
|
| Rate for Payer: Aetna Medicare Advantage |
$135.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$114.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$114.75
|
| Rate for Payer: Cigna Commercial |
$225.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$58.50
|
| Rate for Payer: Oxford Commercial |
$225.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$67.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$225.00
|
|
|
BIT DRILL QC 3.2x40mm RINGLOC
|
Facility
|
IP
|
$500.00
|
|
| Hospital Charge Code |
270645881
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$75.00 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.00
|
|
|
BIT DRILL QC 3.2x40mm RINGLOC
|
Facility
|
OP
|
$500.00
|
|
| Hospital Charge Code |
270645881
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$65.00 |
| Max. Negotiated Rate |
$250.00 |
| Rate for Payer: Aetna Commercial |
$150.00
|
| Rate for Payer: Aetna Medicare Advantage |
$150.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$127.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$127.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$127.50
|
| Rate for Payer: Cigna Commercial |
$250.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$65.00
|
| Rate for Payer: Oxford Commercial |
$250.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$250.00
|
|
|
BIT DRILL QC 4.0x160MM
|
Facility
|
IP
|
$354.00
|
|
| Hospital Charge Code |
270677035
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.10 |
| Max. Negotiated Rate |
$53.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.10
|
|
|
BIT DRILL QC 4.0x160MM
|
Facility
|
OP
|
$354.00
|
|
| Hospital Charge Code |
270677035
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.02 |
| Max. Negotiated Rate |
$177.00 |
| Rate for Payer: Aetna Commercial |
$106.20
|
| Rate for Payer: Aetna Medicare Advantage |
$106.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$90.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$90.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$90.27
|
| Rate for Payer: Cigna Commercial |
$177.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$46.02
|
| Rate for Payer: Oxford Commercial |
$177.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$177.00
|
|
|
BIT DRILL QC HEX 3.2MM 3
|
Facility
|
OP
|
$1,675.00
|
|
| Hospital Charge Code |
270677253
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$217.75 |
| Max. Negotiated Rate |
$837.50 |
| Rate for Payer: Aetna Commercial |
$502.50
|
| Rate for Payer: Aetna Medicare Advantage |
$502.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$427.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$427.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$427.12
|
| Rate for Payer: Cigna Commercial |
$837.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$217.75
|
| Rate for Payer: Oxford Commercial |
$837.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$251.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$837.50
|
|
|
BIT DRILL QC HEX 3.2MM 3
|
Facility
|
IP
|
$1,675.00
|
|
| Hospital Charge Code |
270677253
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$251.25 |
| Max. Negotiated Rate |
$251.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$251.25
|
|
|
BIT DRILL QK CONN 2.7m 2410027
|
Facility
|
IP
|
$147.40
|
|
| Hospital Charge Code |
270610161
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.11 |
| Max. Negotiated Rate |
$22.11 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$22.11
|
|