|
ZILIENT 30G
|
Facility
|
IP
|
$3,125.00
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
270686316N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.75 |
| Max. Negotiated Rate |
$756.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$625.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$756.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$468.75
|
|
|
ZILIENT 30G
|
Facility
|
OP
|
$3,125.00
|
|
|
Service Code
|
HCPCS C1769
|
| Hospital Charge Code |
270686316N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.75 |
| Max. Negotiated Rate |
$1,562.50 |
| Rate for Payer: Aetna Commercial |
$937.50
|
| Rate for Payer: Aetna Medicare Advantage |
$937.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$796.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$796.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$625.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$796.88
|
| Rate for Payer: Cigna Commercial |
$1,562.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$756.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$468.75
|
|
|
ZIMMER KNEE BUNDLE
|
Facility
|
OP
|
$20,500.00
|
|
| Hospital Charge Code |
270703122
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,075.00 |
| Max. Negotiated Rate |
$10,250.00 |
| Rate for Payer: Aetna Commercial |
$6,150.00
|
| Rate for Payer: Aetna Medicare Advantage |
$6,150.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5,227.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5,227.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,100.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5,227.50
|
| Rate for Payer: Cigna Commercial |
$10,250.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,961.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,075.00
|
|
|
ZIMMER KNEE BUNDLE
|
Facility
|
IP
|
$20,500.00
|
|
| Hospital Charge Code |
270703122
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,075.00 |
| Max. Negotiated Rate |
$4,961.00 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$4,100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4,961.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3,075.00
|
|
|
ZIMMON ENDOSCOPIC BILLIARY
|
Facility
|
OP
|
$713.00
|
|
| Hospital Charge Code |
270332240
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.69 |
| Max. Negotiated Rate |
$356.50 |
| Rate for Payer: Aetna Commercial |
$213.90
|
| Rate for Payer: Aetna Medicare Advantage |
$213.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$181.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$181.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$181.81
|
| Rate for Payer: Cigna Commercial |
$356.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$92.69
|
| Rate for Payer: Oxford Commercial |
$356.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$106.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$356.50
|
|
|
ZIMMON ENDOSCOPIC BILLIARY
|
Facility
|
IP
|
$713.00
|
|
| Hospital Charge Code |
270332240
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$106.95 |
| Max. Negotiated Rate |
$106.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$106.95
|
|
|
ZINC
|
Facility
|
OP
|
$169.00
|
|
|
Service Code
|
HCPCS 84630
|
| Hospital Charge Code |
38472707
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.70 |
| Max. Negotiated Rate |
$114.00 |
| Rate for Payer: Aetna Commercial |
$36.90
|
| Rate for Payer: Aetna Medicare Advantage |
$11.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$41.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$41.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage |
$11.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$29.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$41.73
|
| Rate for Payer: Cigna Commercial |
$11.39
|
| Rate for Payer: Cigna Medicare Advantage |
$5.70
|
| Rate for Payer: Clover Medicare Advantage |
$10.82
|
| Rate for Payer: EmblemHealth Commercial |
$34.17
|
| Rate for Payer: Humana Medicare Advantage |
$11.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.97
|
| Rate for Payer: Oxford Commercial |
$101.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$114.00
|
| Rate for Payer: UnitedHealthcare Medicare Advantage |
$11.39
|
| Rate for Payer: Wellcare Ambetter Commercial-Exchange |
$12.07
|
| Rate for Payer: Wellcare Medicare Advantage |
$11.39
|
|
|
ZINC
|
Facility
|
IP
|
$169.00
|
|
|
Service Code
|
HCPCS 84630
|
| Hospital Charge Code |
38472707
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.35 |
| Max. Negotiated Rate |
$25.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.35
|
|
|
ZINC ACETATE OINTMENT
|
Facility
|
IP
|
$49.80
|
|
| Hospital Charge Code |
60629277
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.47 |
| Max. Negotiated Rate |
$7.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.47
|
|
|
ZINC ACETATE OINTMENT
|
Facility
|
OP
|
$49.80
|
|
| Hospital Charge Code |
60629277
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$6.47 |
| Max. Negotiated Rate |
$24.90 |
| Rate for Payer: Aetna Commercial |
$14.94
|
| Rate for Payer: Aetna Medicare Advantage |
$14.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12.70
|
| Rate for Payer: Cigna Commercial |
$24.90
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.47
|
| Rate for Payer: Oxford Commercial |
$24.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$24.90
|
|
|
ZINC GELATIN BANDAGE UNNA BOOT
|
Facility
|
IP
|
$69.30
|
|
| Hospital Charge Code |
60628425
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.39 |
| Max. Negotiated Rate |
$10.39 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.39
|
|
|
ZINC GELATIN BANDAGE UNNA BOOT
|
Facility
|
OP
|
$69.30
|
|
| Hospital Charge Code |
60628425
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.01 |
| Max. Negotiated Rate |
$34.65 |
| Rate for Payer: Aetna Commercial |
$20.79
|
| Rate for Payer: Aetna Medicare Advantage |
$20.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.67
|
| Rate for Payer: Cigna Commercial |
$34.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.01
|
| Rate for Payer: Oxford Commercial |
$34.65
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$34.65
|
|
|
ZINC GLUCONATE/50MG/TAB
|
Facility
|
OP
|
$1.00
|
|
| Hospital Charge Code |
60634310
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.13 |
| Max. Negotiated Rate |
$0.50 |
| Rate for Payer: Aetna Commercial |
$0.30
|
| Rate for Payer: Aetna Medicare Advantage |
$0.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.26
|
| Rate for Payer: Cigna Commercial |
$0.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.13
|
| Rate for Payer: Oxford Commercial |
$0.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.50
|
|
|
ZINC GLUCONATE/50MG/TAB
|
Facility
|
IP
|
$1.00
|
|
| Hospital Charge Code |
60634310
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$0.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.15
|
|
|
ZINC INJ 1MG/ML 10ML
|
Facility
|
OP
|
$3.85
|
|
| Hospital Charge Code |
6025027
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.50 |
| Max. Negotiated Rate |
$1.93 |
| Rate for Payer: Aetna Commercial |
$1.16
|
| Rate for Payer: Aetna Medicare Advantage |
$1.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.98
|
| Rate for Payer: Cigna Commercial |
$1.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.50
|
| Rate for Payer: Oxford Commercial |
$1.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.93
|
|
|
ZINC INJ 1MG/ML 10ML
|
Facility
|
OP
|
$3.85
|
|
| Hospital Charge Code |
6025019
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$0.50 |
| Max. Negotiated Rate |
$1.93 |
| Rate for Payer: Aetna Commercial |
$1.16
|
| Rate for Payer: Aetna Medicare Advantage |
$1.16
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.98
|
| Rate for Payer: Cigna Commercial |
$1.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.50
|
| Rate for Payer: Oxford Commercial |
$1.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.93
|
|
|
ZINC INJ 1MG/ML 10ML
|
Facility
|
IP
|
$3.85
|
|
| Hospital Charge Code |
6025019
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$0.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.58
|
|
|
ZINC INJ 1MG/ML 10ML
|
Facility
|
IP
|
$3.85
|
|
| Hospital Charge Code |
6025027
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$0.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.58
|
|
|
ZINC OINT 20%
|
Facility
|
IP
|
$13.45
|
|
| Hospital Charge Code |
60628433
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$2.02 |
| Max. Negotiated Rate |
$2.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.02
|
|
|
ZINC OINT 20%
|
Facility
|
OP
|
$13.45
|
|
| Hospital Charge Code |
60628433
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$1.75 |
| Max. Negotiated Rate |
$6.72 |
| Rate for Payer: Aetna Commercial |
$4.04
|
| Rate for Payer: Aetna Medicare Advantage |
$4.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.43
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.43
|
| Rate for Payer: Cigna Commercial |
$6.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.75
|
| Rate for Payer: Oxford Commercial |
$6.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.72
|
|
|
ZINC OXD 40%/CODLVR 37.5G OINT
|
Facility
|
OP
|
$19.85
|
|
| Hospital Charge Code |
6010052
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$2.58 |
| Max. Negotiated Rate |
$9.93 |
| Rate for Payer: Aetna Commercial |
$5.96
|
| Rate for Payer: Aetna Medicare Advantage |
$5.96
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.06
|
| Rate for Payer: Cigna Commercial |
$9.93
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.58
|
| Rate for Payer: Oxford Commercial |
$9.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.98
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.93
|
|
|
ZINC OXD 40%/CODLVR 37.5G OINT
|
Facility
|
IP
|
$19.85
|
|
| Hospital Charge Code |
6010052
|
|
Hospital Revenue Code
|
251
|
| Min. Negotiated Rate |
$2.98 |
| Max. Negotiated Rate |
$2.98 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.98
|
|
|
ZINC OXIDE 15% POWDER
|
Facility
|
OP
|
$38.79
|
|
|
Service Code
|
NDC 63736036305
|
| Hospital Charge Code |
606390057
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.04 |
| Max. Negotiated Rate |
$19.39 |
| Rate for Payer: Aetna Commercial |
$11.64
|
| Rate for Payer: Aetna Medicare Advantage |
$11.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.89
|
| Rate for Payer: Cigna Commercial |
$19.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.04
|
| Rate for Payer: Oxford Commercial |
$19.39
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.82
|
| Rate for Payer: UnitedHealthcare Commercial |
$19.39
|
|
|
ZINC OXIDE 15% POWDER
|
Facility
|
IP
|
$38.79
|
|
|
Service Code
|
NDC 63736036305
|
| Hospital Charge Code |
606390057
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$5.82 |
| Max. Negotiated Rate |
$5.82 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.82
|
|
|
ZINC OXIDE/30GM
|
Facility
|
IP
|
$21.98
|
|
|
Service Code
|
NDC 168006231
|
| Hospital Charge Code |
60634202
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.30 |
| Max. Negotiated Rate |
$3.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.30
|
|