|
DRILL BIT QC PURPLE 1.7x100MM
|
Facility
|
OP
|
$1,806.00
|
|
| Hospital Charge Code |
270676409
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$51.29 |
| Max. Negotiated Rate |
$903.00 |
| Rate for Payer: Aetna Commercial |
$686.28
|
| Rate for Payer: Aetna Medicare Advantage |
$541.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$460.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$460.53
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$460.53
|
| Rate for Payer: Cigna Commercial |
$903.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$469.56
|
| Rate for Payer: Oxford Commercial |
$361.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$270.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$361.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$57.07
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51.29
|
|
|
DRILL BIT QC PURPLE 1.7x100MM
|
Facility
|
IP
|
$1,806.00
|
|
| Hospital Charge Code |
270676409
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$270.90 |
| Max. Negotiated Rate |
$270.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$270.90
|
|
|
DRILL BIT QR 1.1MMX3.5INCH
|
Facility
|
IP
|
$965.00
|
|
| Hospital Charge Code |
270697371
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$144.75 |
| Max. Negotiated Rate |
$144.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.75
|
|
|
DRILL BIT QR 1.1MMX3.5INCH
|
Facility
|
OP
|
$965.00
|
|
| Hospital Charge Code |
270697371
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.41 |
| Max. Negotiated Rate |
$482.50 |
| Rate for Payer: Aetna Commercial |
$366.70
|
| Rate for Payer: Aetna Medicare Advantage |
$289.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$246.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$246.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$246.07
|
| Rate for Payer: Cigna Commercial |
$482.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$250.90
|
| Rate for Payer: Oxford Commercial |
$193.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$144.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$193.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.49
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.41
|
|
|
DRILL BIT QUICK CONN 3.2X30MM
|
Facility
|
IP
|
$615.00
|
|
| Hospital Charge Code |
270668426
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$92.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
|
|
DRILL BIT QUICK CONN 3.2X30MM
|
Facility
|
OP
|
$615.00
|
|
| Hospital Charge Code |
270668426
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.47 |
| Max. Negotiated Rate |
$307.50 |
| Rate for Payer: Aetna Commercial |
$233.70
|
| Rate for Payer: Aetna Medicare Advantage |
$184.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$156.82
|
| Rate for Payer: Cigna Commercial |
$307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$159.90
|
| Rate for Payer: Oxford Commercial |
$123.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$123.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.47
|
|
|
DRILL BIT QUICK CONNECT
|
Facility
|
IP
|
$615.00
|
|
| Hospital Charge Code |
270668428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$92.25 |
| Max. Negotiated Rate |
$92.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
|
|
DRILL BIT QUICK CONNECT
|
Facility
|
OP
|
$615.00
|
|
| Hospital Charge Code |
270668428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.47 |
| Max. Negotiated Rate |
$307.50 |
| Rate for Payer: Aetna Commercial |
$233.70
|
| Rate for Payer: Aetna Medicare Advantage |
$184.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$156.82
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$156.82
|
| Rate for Payer: Cigna Commercial |
$307.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$159.90
|
| Rate for Payer: Oxford Commercial |
$123.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$92.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$123.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.47
|
|
|
DRILL BIT QUICK RELEASE 2.0MM
|
Facility
|
IP
|
$415.00
|
|
| Hospital Charge Code |
270641015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.25 |
| Max. Negotiated Rate |
$62.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.25
|
|
|
DRILL BIT QUICK RELEASE 2.0MM
|
Facility
|
OP
|
$415.00
|
|
| Hospital Charge Code |
270641015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.79 |
| Max. Negotiated Rate |
$207.50 |
| Rate for Payer: Aetna Commercial |
$157.70
|
| Rate for Payer: Aetna Medicare Advantage |
$124.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$105.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$105.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$105.83
|
| Rate for Payer: Cigna Commercial |
$207.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.90
|
| Rate for Payer: Oxford Commercial |
$83.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$83.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.79
|
|
|
DRILL BIT QUICK RELEASE 2.8MM
|
Facility
|
OP
|
$445.00
|
|
| Hospital Charge Code |
270637506
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.64 |
| Max. Negotiated Rate |
$222.50 |
| Rate for Payer: Aetna Commercial |
$169.10
|
| Rate for Payer: Aetna Medicare Advantage |
$133.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$113.47
|
| Rate for Payer: Cigna Commercial |
$222.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$115.70
|
| Rate for Payer: Oxford Commercial |
$89.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$89.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.64
|
|
|
DRILL BIT QUICK RELEASE 2.8MM
|
Facility
|
IP
|
$445.00
|
|
| Hospital Charge Code |
270637506
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
|
|
DRILL BIT QUICK RELEASE 3.5MM
|
Facility
|
IP
|
$415.00
|
|
| Hospital Charge Code |
270638173
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.25 |
| Max. Negotiated Rate |
$62.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.25
|
|
|
DRILL BIT QUICK RELEASE 3.5MM
|
Facility
|
OP
|
$415.00
|
|
| Hospital Charge Code |
270638173
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.79 |
| Max. Negotiated Rate |
$207.50 |
| Rate for Payer: Aetna Commercial |
$157.70
|
| Rate for Payer: Aetna Medicare Advantage |
$124.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$105.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$105.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$105.83
|
| Rate for Payer: Cigna Commercial |
$207.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.90
|
| Rate for Payer: Oxford Commercial |
$83.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$83.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.79
|
|
|
DRILL BIT REF#19805-S
|
Facility
|
OP
|
$575.00
|
|
| Hospital Charge Code |
270704436
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$16.33 |
| Max. Negotiated Rate |
$287.50 |
| Rate for Payer: Aetna Commercial |
$218.50
|
| Rate for Payer: Aetna Medicare Advantage |
$172.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$146.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$146.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$146.62
|
| Rate for Payer: Cigna Commercial |
$287.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$149.50
|
| Rate for Payer: Oxford Commercial |
$115.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$86.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$115.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$18.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$16.33
|
|
|
DRILL BIT REF#19805-S
|
Facility
|
IP
|
$575.00
|
|
| Hospital Charge Code |
270704436
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$86.25 |
| Max. Negotiated Rate |
$86.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$86.25
|
|
|
DRILL BIT S 1.0MM
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674519
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
DRILL BIT S 1.0MM
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674519
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.19
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.83
|
|
|
DRILL BIT S 1.1MM
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674521
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
DRILL BIT S 1.1MM
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674521
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.19
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.83
|
|
|
DRILL BIT S 1.3MM
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674523
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
DRILL BIT S 1.3MM
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674523
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.19
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.83
|
|
|
DRILL BIT S 1.5MM
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674525
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
DRILL BIT S 1.5MM
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674525
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.19
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.83
|
|
|
DRILL BIT S 2.0MM
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674527
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|