|
BLADE S9 FLAT 10MMX5CM
|
Facility
|
OP
|
$850.00
|
|
| Hospital Charge Code |
270696316
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$110.50 |
| Max. Negotiated Rate |
$425.00 |
| Rate for Payer: Aetna Commercial |
$255.00
|
| Rate for Payer: Aetna Medicare Advantage |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216.75
|
| Rate for Payer: Cigna Commercial |
$425.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$110.50
|
| Rate for Payer: Oxford Commercial |
$425.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$425.00
|
|
|
BLADES AGITALSAW STRAIGHT
|
Facility
|
IP
|
$69.85
|
|
| Hospital Charge Code |
270657621
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.48 |
| Max. Negotiated Rate |
$10.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.48
|
|
|
BLADES AGITALSAW STRAIGHT
|
Facility
|
OP
|
$69.85
|
|
| Hospital Charge Code |
270657621
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.08 |
| Max. Negotiated Rate |
$34.92 |
| Rate for Payer: Aetna Commercial |
$20.95
|
| Rate for Payer: Aetna Medicare Advantage |
$20.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.81
|
| Rate for Payer: Cigna Commercial |
$34.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.08
|
| Rate for Payer: Oxford Commercial |
$34.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$34.92
|
|
|
BLADE SAGITTAL 13X90X1.19MM
|
Facility
|
IP
|
$316.10
|
|
| Hospital Charge Code |
270687598
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.41 |
| Max. Negotiated Rate |
$47.41 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
|
|
BLADE SAGITTAL 13X90X1.19MM
|
Facility
|
OP
|
$316.10
|
|
| Hospital Charge Code |
270687598
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.09 |
| Max. Negotiated Rate |
$158.05 |
| Rate for Payer: Aetna Commercial |
$94.83
|
| Rate for Payer: Aetna Medicare Advantage |
$94.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$80.61
|
| Rate for Payer: Cigna Commercial |
$158.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.09
|
| Rate for Payer: Oxford Commercial |
$158.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$158.05
|
|
|
BLADE SAGITTAL 13X90X1.27MM
|
Facility
|
IP
|
$300.25
|
|
| Hospital Charge Code |
270687191
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.04 |
| Max. Negotiated Rate |
$45.04 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
|
|
BLADE SAGITTAL 13X90X1.27MM
|
Facility
|
OP
|
$300.25
|
|
| Hospital Charge Code |
270687191
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.03 |
| Max. Negotiated Rate |
$150.12 |
| Rate for Payer: Aetna Commercial |
$90.08
|
| Rate for Payer: Aetna Medicare Advantage |
$90.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.56
|
| Rate for Payer: Cigna Commercial |
$150.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.03
|
| Rate for Payer: Oxford Commercial |
$150.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$150.12
|
|
|
BLADE SAGITTAL 18X90X1.19
|
Facility
|
IP
|
$316.10
|
|
| Hospital Charge Code |
270695106
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.41 |
| Max. Negotiated Rate |
$47.41 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
|
|
BLADE SAGITTAL 18X90X1.19
|
Facility
|
OP
|
$316.10
|
|
| Hospital Charge Code |
270695106
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.09 |
| Max. Negotiated Rate |
$158.05 |
| Rate for Payer: Aetna Commercial |
$94.83
|
| Rate for Payer: Aetna Medicare Advantage |
$94.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$80.61
|
| Rate for Payer: Cigna Commercial |
$158.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$41.09
|
| Rate for Payer: Oxford Commercial |
$158.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$158.05
|
|
|
BLADE SAGITTAL 25X90X0.97MM
|
Facility
|
OP
|
$135.00
|
|
| Hospital Charge Code |
270698401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.55 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna Commercial |
$40.50
|
| Rate for Payer: Aetna Medicare Advantage |
$40.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$34.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$34.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$34.42
|
| Rate for Payer: Cigna Commercial |
$67.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.55
|
| Rate for Payer: Oxford Commercial |
$67.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$67.50
|
|
|
BLADE SAGITTAL 25X90X0.97MM
|
Facility
|
IP
|
$135.00
|
|
| Hospital Charge Code |
270698401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.25 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.25
|
|
|
BLADE SAGITTAL CRSE 19.5x41mm
|
Facility
|
OP
|
$69.85
|
|
| Hospital Charge Code |
270638992
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.08 |
| Max. Negotiated Rate |
$34.92 |
| Rate for Payer: Aetna Commercial |
$20.95
|
| Rate for Payer: Aetna Medicare Advantage |
$20.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.81
|
| Rate for Payer: Cigna Commercial |
$34.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.08
|
| Rate for Payer: Oxford Commercial |
$34.92
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$34.92
|
|
|
BLADE SAGITTAL CRSE 19.5x41mm
|
Facility
|
IP
|
$69.85
|
|
| Hospital Charge Code |
270638992
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.48 |
| Max. Negotiated Rate |
$10.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.48
|
|
|
BLADE SAGITTAL FINE 4X34MM
|
Facility
|
OP
|
$50.00
|
|
| Hospital Charge Code |
270638993
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.50 |
| Max. Negotiated Rate |
$25.00 |
| Rate for Payer: Aetna Commercial |
$15.00
|
| Rate for Payer: Aetna Medicare Advantage |
$15.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$12.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$12.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$12.75
|
| Rate for Payer: Cigna Commercial |
$25.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.50
|
| Rate for Payer: Oxford Commercial |
$25.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.00
|
|
|
BLADE SAGITTAL FINE 4X34MM
|
Facility
|
IP
|
$50.00
|
|
| Hospital Charge Code |
270638993
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.50
|
|
|
BLADE SAGITTAL SAW 25x90x1.27
|
Facility
|
IP
|
$126.75
|
|
| Hospital Charge Code |
270677909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.01 |
| Max. Negotiated Rate |
$19.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.01
|
|
|
BLADE SAGITTAL SAW 25x90x1.27
|
Facility
|
OP
|
$126.75
|
|
| Hospital Charge Code |
270677909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.48 |
| Max. Negotiated Rate |
$63.38 |
| Rate for Payer: Aetna Commercial |
$38.02
|
| Rate for Payer: Aetna Medicare Advantage |
$38.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.32
|
| Rate for Payer: Cigna Commercial |
$63.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$16.48
|
| Rate for Payer: Oxford Commercial |
$63.38
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.38
|
|
|
BLADE SAGITTAL SAW 90X12.5
|
Facility
|
OP
|
$300.25
|
|
| Hospital Charge Code |
270687038
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.03 |
| Max. Negotiated Rate |
$150.12 |
| Rate for Payer: Aetna Commercial |
$90.08
|
| Rate for Payer: Aetna Medicare Advantage |
$90.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.56
|
| Rate for Payer: Cigna Commercial |
$150.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$39.03
|
| Rate for Payer: Oxford Commercial |
$150.12
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$150.12
|
|
|
BLADE SAGITTAL SAW 90X12.5
|
Facility
|
IP
|
$300.25
|
|
| Hospital Charge Code |
270687038
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.04 |
| Max. Negotiated Rate |
$45.04 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
|
|
BLADE SAGITTAL SAW MICRO
|
Facility
|
IP
|
$275.00
|
|
| Hospital Charge Code |
270658460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
BLADE SAGITTAL SAW MICRO
|
Facility
|
OP
|
$275.00
|
|
| Hospital Charge Code |
270658460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.75 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$82.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.75
|
| Rate for Payer: Oxford Commercial |
$137.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$137.50
|
|
|
BLADE SAGITTL SAW 1.27x25x90MM
|
Facility
|
OP
|
$220.50
|
|
| Hospital Charge Code |
270677874
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$28.66 |
| Max. Negotiated Rate |
$110.25 |
| Rate for Payer: Aetna Commercial |
$66.15
|
| Rate for Payer: Aetna Medicare Advantage |
$66.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$56.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$56.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$56.23
|
| Rate for Payer: Cigna Commercial |
$110.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.66
|
| Rate for Payer: Oxford Commercial |
$110.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$110.25
|
|
|
BLADE SAGITTL SAW 1.27x25x90MM
|
Facility
|
IP
|
$220.50
|
|
| Hospital Charge Code |
270677874
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.08 |
| Max. Negotiated Rate |
$33.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.08
|
|
|
BLADE SAG OSCILL 40MM
|
Facility
|
IP
|
$725.00
|
|
| Hospital Charge Code |
270695415
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$108.75 |
| Max. Negotiated Rate |
$108.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$108.75
|
|
|
BLADE SAG OSCILL 40MM
|
Facility
|
OP
|
$725.00
|
|
| Hospital Charge Code |
270695415
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$94.25 |
| Max. Negotiated Rate |
$362.50 |
| Rate for Payer: Aetna Commercial |
$217.50
|
| Rate for Payer: Aetna Medicare Advantage |
$217.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$184.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$184.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$184.88
|
| Rate for Payer: Cigna Commercial |
$362.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$94.25
|
| Rate for Payer: Oxford Commercial |
$362.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$108.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$362.50
|
|