|
BURR ACORN S 9MM HD LTH 11.4MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR ACORN S 9MM HD LTH 11.4MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR AGG 2.0MM FLUTED
|
Facility
|
IP
|
$392.85
|
|
| Hospital Charge Code |
270703077
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$58.93 |
| Max. Negotiated Rate |
$58.93 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.93
|
|
|
BURR AGG 2.0MM FLUTED
|
Facility
|
OP
|
$392.85
|
|
| Hospital Charge Code |
270703077
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$51.07 |
| Max. Negotiated Rate |
$196.43 |
| Rate for Payer: Aetna Commercial |
$117.86
|
| Rate for Payer: Aetna Medicare Advantage |
$117.86
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$100.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$100.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$100.18
|
| Rate for Payer: Cigna Commercial |
$196.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$51.07
|
| Rate for Payer: Oxford Commercial |
$196.43
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.93
|
| Rate for Payer: UnitedHealthcare Commercial |
$196.43
|
|
|
BURR BARREL 6-FLUTE 4mm
|
Facility
|
IP
|
$200.00
|
|
| Hospital Charge Code |
270606567
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
|
|
BURR BARREL 6-FLUTE 4mm
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270606567
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$60.00
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.00
|
| Rate for Payer: Cigna Commercial |
$100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.00
|
| Rate for Payer: Oxford Commercial |
$100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$100.00
|
|
|
BURR BARREL L 4MM HD LGTH 9MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674628
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL L 4MM HD LGTH 9MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674628
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL L 5MM HD LGTH 10MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL L 5MM HD LGTH 10MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL L 6MM HD LGTH 11MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674631
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL L 6MM HD LGTH 11MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674631
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL M 4MM HD LGTH 9MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674627
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL M 4MM HD LGTH 9MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674627
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL M 5MM HD LGTH 10MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674459
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL M 5MM HD LGTH 10MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674459
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL M 6MM HD LGTH 11MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674630
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL M 6MM HD LGTH 11MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674630
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL S 4MM HD LGTH 9MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674626
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL S 4MM HD LGTH 9MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674626
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL S 5MM HD LGTH 10MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR BARREL S 5MM HD LGTH 10MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL S 6MM HD LGTH 11MM
|
Facility
|
OP
|
$329.00
|
|
| Hospital Charge Code |
270674629
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.77 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$98.70
|
| Rate for Payer: Aetna Medicare Advantage |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$83.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$83.89
|
| Rate for Payer: Cigna Commercial |
$164.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.77
|
| Rate for Payer: Oxford Commercial |
$164.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$164.50
|
|
|
BURR BARREL S 6MM HD LGTH 11MM
|
Facility
|
IP
|
$329.00
|
|
| Hospital Charge Code |
270674629
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.35 |
| Max. Negotiated Rate |
$49.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.35
|
|
|
BURR CARBIDE OVAL 4.0MM
|
Facility
|
OP
|
$172.20
|
|
| Hospital Charge Code |
270627342
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$22.39 |
| Max. Negotiated Rate |
$86.10 |
| Rate for Payer: Aetna Commercial |
$51.66
|
| Rate for Payer: Aetna Medicare Advantage |
$51.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$43.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$43.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$43.91
|
| Rate for Payer: Cigna Commercial |
$86.10
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.39
|
| Rate for Payer: Oxford Commercial |
$86.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$25.83
|
| Rate for Payer: UnitedHealthcare Commercial |
$86.10
|
|