|
NEEDLE 5 FORAMEN 20G
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270671804
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$76.00
|
| 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 |
$52.00
|
| Rate for Payer: Oxford Commercial |
$40.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.68
|
|
|
NEEDLE ACCESS PORT 20GX2
|
Facility
|
OP
|
$30.00
|
|
| Hospital Charge Code |
270665944
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.85 |
| Max. Negotiated Rate |
$15.00 |
| Rate for Payer: Aetna Commercial |
$11.40
|
| Rate for Payer: Aetna Medicare Advantage |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.65
|
| Rate for Payer: Cigna Commercial |
$15.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.80
|
| Rate for Payer: Oxford Commercial |
$6.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.85
|
|
|
NEEDLE ACCESS PORT 20GX2
|
Facility
|
IP
|
$30.00
|
|
| Hospital Charge Code |
270665944
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.50 |
| Max. Negotiated Rate |
$4.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.50
|
|
|
NEEDLE ACCUSTICK W/RO MARKER
|
Facility
|
OP
|
$525.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270623765
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$14.91 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna Commercial |
$199.50
|
| Rate for Payer: Aetna Medicare Advantage |
$157.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$133.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$133.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$105.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$133.88
|
| Rate for Payer: Cigna Commercial |
$262.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$127.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$78.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$16.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.91
|
|
|
NEEDLE ACCUSTICK W/RO MARKER
|
Facility
|
IP
|
$525.00
|
|
|
Service Code
|
HCPCS C1894
|
| Hospital Charge Code |
270623765
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$78.75 |
| Max. Negotiated Rate |
$127.05 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$105.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$127.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$78.75
|
|
|
NEEDLE ACQUIRE 19 GA FNB
|
Facility
|
IP
|
$2,750.00
|
|
| Hospital Charge Code |
270681803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$412.50 |
| Max. Negotiated Rate |
$412.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$412.50
|
|
|
NEEDLE ACQUIRE 19 GA FNB
|
Facility
|
OP
|
$2,750.00
|
|
| Hospital Charge Code |
270681803
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$78.10 |
| Max. Negotiated Rate |
$1,375.00 |
| Rate for Payer: Aetna Commercial |
$1,045.00
|
| Rate for Payer: Aetna Medicare Advantage |
$825.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$701.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$701.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$701.25
|
| Rate for Payer: Cigna Commercial |
$1,375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$715.00
|
| Rate for Payer: Oxford Commercial |
$550.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$412.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$550.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$86.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$78.10
|
|
|
NEEDLE ACQUIRE 22G
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270678046
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.09 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$750.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$513.50
|
| Rate for Payer: Oxford Commercial |
$395.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$395.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$62.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.09
|
|
|
NEEDLE ACQUIRE 22G
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270678046
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ACQUIRE 22GA FNB
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270679457
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.09 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$750.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$513.50
|
| Rate for Payer: Oxford Commercial |
$395.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$395.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$62.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.09
|
|
|
NEEDLE ACQUIRE 22GA FNB
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270679457
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ACQUIRE 25 G
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270679063
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.09 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$750.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$513.50
|
| Rate for Payer: Oxford Commercial |
$395.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$395.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$62.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.09
|
|
|
NEEDLE ACQUIRE 25 G
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270679063
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ACQUIRE 25GA FNB
|
Facility
|
IP
|
$1,975.00
|
|
| Hospital Charge Code |
270679458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$296.25 |
| Max. Negotiated Rate |
$296.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
|
|
NEEDLE ACQUIRE 25GA FNB
|
Facility
|
OP
|
$1,975.00
|
|
| Hospital Charge Code |
270679458
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.09 |
| Max. Negotiated Rate |
$987.50 |
| Rate for Payer: Aetna Commercial |
$750.50
|
| Rate for Payer: Aetna Medicare Advantage |
$592.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$503.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$503.62
|
| Rate for Payer: Cigna Commercial |
$987.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$513.50
|
| Rate for Payer: Oxford Commercial |
$395.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$296.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$395.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$62.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.09
|
|
|
NEEDLE ANESTHESIA EPIDURAL
|
Facility
|
IP
|
$39.15
|
|
| Hospital Charge Code |
270650825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.87 |
| Max. Negotiated Rate |
$5.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.87
|
|
|
NEEDLE ANESTHESIA EPIDURAL
|
Facility
|
OP
|
$39.15
|
|
| Hospital Charge Code |
270650825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.11 |
| Max. Negotiated Rate |
$19.57 |
| Rate for Payer: Aetna Commercial |
$14.88
|
| Rate for Payer: Aetna Medicare Advantage |
$11.74
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.98
|
| Rate for Payer: Cigna Commercial |
$19.57
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.18
|
| Rate for Payer: Oxford Commercial |
$7.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.83
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.11
|
|
|
NEEDLE ARTERIAL ENTRY 18G
|
Facility
|
OP
|
$23.50
|
|
| Hospital Charge Code |
270601193
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.67 |
| Max. Negotiated Rate |
$11.75 |
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: Aetna Medicare Advantage |
$7.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.99
|
| Rate for Payer: Cigna Commercial |
$11.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.11
|
| Rate for Payer: Oxford Commercial |
$4.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.52
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.67
|
|
|
NEEDLE ARTERIAL ENTRY 18G
|
Facility
|
IP
|
$23.50
|
|
| Hospital Charge Code |
270601193
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.52 |
| Max. Negotiated Rate |
$3.52 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.52
|
|
|
NEEDLE ASPIRATION 20 GA 130 CM
|
Facility
|
OP
|
$415.00
|
|
| Hospital Charge Code |
270689114
|
|
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
|
|
|
NEEDLE ASPIRATION 20 GA 130 CM
|
Facility
|
IP
|
$415.00
|
|
| Hospital Charge Code |
270689114
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.25 |
| Max. Negotiated Rate |
$62.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.25
|
|
|
NEEDLE ASPIRATION 21 GA 130 CM
|
Facility
|
OP
|
$415.95
|
|
| Hospital Charge Code |
270689115
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.81 |
| Max. Negotiated Rate |
$207.97 |
| Rate for Payer: Aetna Commercial |
$158.06
|
| Rate for Payer: Aetna Medicare Advantage |
$124.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$106.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$106.07
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$106.07
|
| Rate for Payer: Cigna Commercial |
$207.97
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$108.15
|
| Rate for Payer: Oxford Commercial |
$83.19
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$83.19
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.81
|
|
|
NEEDLE ASPIRATION 21 GA 130 CM
|
Facility
|
IP
|
$415.95
|
|
| Hospital Charge Code |
270689115
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$62.39 |
| Max. Negotiated Rate |
$62.39 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$62.39
|
|
|
NEEDLE ASPIRATION EUS 19G FLEX
|
Facility
|
IP
|
$2,164.27
|
|
| Hospital Charge Code |
270675828
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$324.64 |
| Max. Negotiated Rate |
$324.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
|
|
NEEDLE ASPIRATION EUS 19G FLEX
|
Facility
|
OP
|
$2,164.27
|
|
| Hospital Charge Code |
270675828
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.47 |
| Max. Negotiated Rate |
$1,082.13 |
| Rate for Payer: Aetna Commercial |
$822.42
|
| Rate for Payer: Aetna Medicare Advantage |
$649.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$551.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$551.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$551.89
|
| Rate for Payer: Cigna Commercial |
$1,082.13
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$562.71
|
| Rate for Payer: Oxford Commercial |
$432.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$432.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$68.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$61.47
|
|