|
ANGIOCATH 18G 1 1/4 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041004
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.69 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$9.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.29
|
| Rate for Payer: Oxford Commercial |
$4.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.84
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.69
|
|
|
ANGIOCATH 18G 2
|
Facility
|
OP
|
$13.65
|
|
| Hospital Charge Code |
270041010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$6.83 |
| Rate for Payer: Aetna Commercial |
$5.19
|
| Rate for Payer: Aetna Medicare Advantage |
$4.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.48
|
| Rate for Payer: Cigna Commercial |
$6.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.55
|
| Rate for Payer: Oxford Commercial |
$2.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.39
|
|
|
ANGIOCATH 18G 2
|
Facility
|
IP
|
$13.65
|
|
| Hospital Charge Code |
270041010
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.05 |
| Max. Negotiated Rate |
$2.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
|
|
ANGIOCATH 20G 1 1/4 IN
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270041003
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 20G 1 1/4 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041003
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.69 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$9.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.29
|
| Rate for Payer: Oxford Commercial |
$4.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.84
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.69
|
|
|
ANGIOCATH 20G 1 PINK
|
Facility
|
IP
|
$429.23
|
|
| Hospital Charge Code |
270649793
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.38 |
| Max. Negotiated Rate |
$64.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.38
|
|
|
ANGIOCATH 20G 1 PINK
|
Facility
|
OP
|
$429.23
|
|
| Hospital Charge Code |
270649793
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.19 |
| Max. Negotiated Rate |
$214.62 |
| Rate for Payer: Aetna Commercial |
$163.11
|
| Rate for Payer: Aetna Medicare Advantage |
$128.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.45
|
| Rate for Payer: Cigna Commercial |
$214.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.60
|
| Rate for Payer: Oxford Commercial |
$85.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$85.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.19
|
|
|
ANGIOCATH 20G 2
|
Facility
|
OP
|
$13.65
|
|
| Hospital Charge Code |
270041015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$6.83 |
| Rate for Payer: Aetna Commercial |
$5.19
|
| Rate for Payer: Aetna Medicare Advantage |
$4.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.48
|
| Rate for Payer: Cigna Commercial |
$6.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.55
|
| Rate for Payer: Oxford Commercial |
$2.73
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.73
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.39
|
|
|
ANGIOCATH 20G 2
|
Facility
|
IP
|
$13.65
|
|
| Hospital Charge Code |
270041015
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.05 |
| Max. Negotiated Rate |
$2.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.05
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
IP
|
$11.00
|
|
| Hospital Charge Code |
270330905
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.65 |
| Max. Negotiated Rate |
$1.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.65
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
IP
|
$382.80
|
|
| Hospital Charge Code |
270649792
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.42 |
| Max. Negotiated Rate |
$57.42 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.42
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
OP
|
$11.00
|
|
| Hospital Charge Code |
270330905
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.31 |
| Max. Negotiated Rate |
$5.50 |
| Rate for Payer: Aetna Commercial |
$4.18
|
| Rate for Payer: Aetna Medicare Advantage |
$3.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.81
|
| Rate for Payer: Cigna Commercial |
$5.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.86
|
| Rate for Payer: Oxford Commercial |
$2.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.31
|
|
|
ANGIOCATH 22G 1 BLUE
|
Facility
|
OP
|
$382.80
|
|
| Hospital Charge Code |
270649792
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.87 |
| Max. Negotiated Rate |
$191.40 |
| Rate for Payer: Aetna Commercial |
$145.46
|
| Rate for Payer: Aetna Medicare Advantage |
$114.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.61
|
| Rate for Payer: Cigna Commercial |
$191.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.53
|
| Rate for Payer: Oxford Commercial |
$76.56
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.56
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.87
|
|
|
ANGIOCATH 22G 1 IN
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270041002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 22G 1 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.69 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$9.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.29
|
| Rate for Payer: Oxford Commercial |
$4.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.84
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.69
|
|
|
ANGIOCATH 24G 1/2
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270627355
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.69 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$9.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.29
|
| Rate for Payer: Oxford Commercial |
$4.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.84
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.69
|
|
|
ANGIOCATH 24G 1/2
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270627355
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH 24G 3/4 IN
|
Facility
|
OP
|
$24.21
|
|
| Hospital Charge Code |
270041001
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.69 |
| Max. Negotiated Rate |
$12.11 |
| Rate for Payer: Aetna Commercial |
$9.20
|
| Rate for Payer: Aetna Medicare Advantage |
$7.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.17
|
| Rate for Payer: Cigna Commercial |
$12.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.29
|
| Rate for Payer: Oxford Commercial |
$4.84
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.84
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.69
|
|
|
ANGIOCATH 24G 3/4 IN
|
Facility
|
IP
|
$24.21
|
|
| Hospital Charge Code |
270041001
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.63 |
| Max. Negotiated Rate |
$3.63 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.63
|
|
|
ANGIOCATH IV CATH 14G 2
|
Facility
|
OP
|
$9.02
|
|
| Hospital Charge Code |
270649594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.26 |
| Max. Negotiated Rate |
$4.51 |
| Rate for Payer: Aetna Commercial |
$3.43
|
| Rate for Payer: Aetna Medicare Advantage |
$2.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.30
|
| Rate for Payer: Cigna Commercial |
$4.51
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.35
|
| Rate for Payer: Oxford Commercial |
$1.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.26
|
|
|
ANGIOCATH IV CATH 14G 2
|
Facility
|
IP
|
$9.02
|
|
| Hospital Charge Code |
270649594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.35 |
| Max. Negotiated Rate |
$1.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.35
|
|
|
ANGIOCATH IV CATH 16G 1-1/4
|
Facility
|
IP
|
$8.97
|
|
| Hospital Charge Code |
270652604
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.35 |
| Max. Negotiated Rate |
$1.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.35
|
|
|
ANGIOCATH IV CATH 16G 1-1/4
|
Facility
|
OP
|
$8.97
|
|
| Hospital Charge Code |
270652604
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.25 |
| Max. Negotiated Rate |
$4.49 |
| Rate for Payer: Aetna Commercial |
$3.41
|
| Rate for Payer: Aetna Medicare Advantage |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.29
|
| Rate for Payer: Cigna Commercial |
$4.49
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.33
|
| Rate for Payer: Oxford Commercial |
$1.79
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.79
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.28
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.25
|
|
|
ANGIOCATH IV CATH 18G 1-14
|
Facility
|
IP
|
$16.87
|
|
| Hospital Charge Code |
270649595
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.53 |
| Max. Negotiated Rate |
$2.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.53
|
|
|
ANGIOCATH IV CATH 18G 1-14
|
Facility
|
OP
|
$16.87
|
|
| Hospital Charge Code |
270649595
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$8.44 |
| Rate for Payer: Aetna Commercial |
$6.41
|
| Rate for Payer: Aetna Medicare Advantage |
$5.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.30
|
| Rate for Payer: Cigna Commercial |
$8.44
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.39
|
| Rate for Payer: Oxford Commercial |
$3.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.48
|
|