|
NEEDLE ASPIRATION EUS 25G-5002
|
Facility
|
IP
|
$5,575.00
|
|
| Hospital Charge Code |
270661999
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$836.25 |
| Max. Negotiated Rate |
$836.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$836.25
|
|
|
NEEDLE ASPIRATION EUS 25G-5002
|
Facility
|
OP
|
$5,575.00
|
|
| Hospital Charge Code |
270661999
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$158.33 |
| Max. Negotiated Rate |
$2,787.50 |
| Rate for Payer: Aetna Commercial |
$2,118.50
|
| Rate for Payer: Aetna Medicare Advantage |
$1,672.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,421.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,421.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,421.62
|
| Rate for Payer: Cigna Commercial |
$2,787.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,449.50
|
| Rate for Payer: Oxford Commercial |
$1,115.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$836.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,115.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$176.17
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$158.33
|
|
|
NEEDLE ASPIRATION SLIMLINE 19G
|
Facility
|
IP
|
$2,169.70
|
|
| Hospital Charge Code |
270677719
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$325.45 |
| Max. Negotiated Rate |
$325.45 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$325.45
|
|
|
NEEDLE ASPIRATION SLIMLINE 19G
|
Facility
|
OP
|
$2,169.70
|
|
| Hospital Charge Code |
270677719
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.62 |
| Max. Negotiated Rate |
$1,084.85 |
| Rate for Payer: Aetna Commercial |
$824.49
|
| Rate for Payer: Aetna Medicare Advantage |
$650.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$553.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$553.27
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$553.27
|
| Rate for Payer: Cigna Commercial |
$1,084.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$564.12
|
| Rate for Payer: Oxford Commercial |
$433.94
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$325.45
|
| Rate for Payer: UnitedHealthcare Commercial |
$433.94
|
| Rate for Payer: UnitedHealthcare Community & State |
$68.56
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$61.62
|
|
|
NEEDLE ASPIR SLIMLINE 22 GA
|
Facility
|
OP
|
$1,087.70
|
|
| Hospital Charge Code |
270679459
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.89 |
| Max. Negotiated Rate |
$543.85 |
| Rate for Payer: Aetna Commercial |
$413.33
|
| Rate for Payer: Aetna Medicare Advantage |
$326.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$277.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$277.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$277.36
|
| Rate for Payer: Cigna Commercial |
$543.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$282.80
|
| Rate for Payer: Oxford Commercial |
$217.54
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$163.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$217.54
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$30.89
|
|
|
NEEDLE ASPIR SLIMLINE 22 GA
|
Facility
|
IP
|
$1,087.70
|
|
| Hospital Charge Code |
270679459
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$163.16 |
| Max. Negotiated Rate |
$163.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$163.16
|
|
|
NEEDLE ASPIR SLIMLINE 25 GA
|
Facility
|
OP
|
$1,087.70
|
|
| Hospital Charge Code |
270679460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.89 |
| Max. Negotiated Rate |
$543.85 |
| Rate for Payer: Aetna Commercial |
$413.33
|
| Rate for Payer: Aetna Medicare Advantage |
$326.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$277.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$277.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$277.36
|
| Rate for Payer: Cigna Commercial |
$543.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$282.80
|
| Rate for Payer: Oxford Commercial |
$217.54
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$163.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$217.54
|
| Rate for Payer: UnitedHealthcare Community & State |
$34.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$30.89
|
|
|
NEEDLE ASPIR SLIMLINE 25 GA
|
Facility
|
IP
|
$1,087.70
|
|
| Hospital Charge Code |
270679460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$163.16 |
| Max. Negotiated Rate |
$163.16 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$163.16
|
|
|
NEEDLE BEVELED 8 GUAGE BMA 150
|
Facility
|
OP
|
$1,125.00
|
|
| Hospital Charge Code |
270693041
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$562.50 |
| Rate for Payer: Aetna Commercial |
$427.50
|
| Rate for Payer: Aetna Medicare Advantage |
$337.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$286.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$286.88
|
| Rate for Payer: Cigna Commercial |
$562.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$292.50
|
| Rate for Payer: Oxford Commercial |
$225.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$225.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$35.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$31.95
|
|
|
NEEDLE BEVELED 8 GUAGE BMA 150
|
Facility
|
IP
|
$1,125.00
|
|
| Hospital Charge Code |
270693041
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$168.75 |
| Max. Negotiated Rate |
$168.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
|
|
NEEDLE BEVEL TIP 11G
|
Facility
|
OP
|
$660.00
|
|
| Hospital Charge Code |
270678594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.74 |
| Max. Negotiated Rate |
$330.00 |
| Rate for Payer: Aetna Commercial |
$250.80
|
| Rate for Payer: Aetna Medicare Advantage |
$198.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$168.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$168.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$168.30
|
| Rate for Payer: Cigna Commercial |
$330.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$171.60
|
| Rate for Payer: Oxford Commercial |
$132.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$99.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$132.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.74
|
|
|
NEEDLE BEVEL TIP 11G
|
Facility
|
IP
|
$660.00
|
|
| Hospital Charge Code |
270678594
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$99.00
|
|
|
NEEDLE BIOPSY 18GA X 20 CM
|
Facility
|
OP
|
$175.24
|
|
| Hospital Charge Code |
270650846
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.98 |
| Max. Negotiated Rate |
$87.62 |
| Rate for Payer: Aetna Commercial |
$66.59
|
| Rate for Payer: Aetna Medicare Advantage |
$52.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44.69
|
| Rate for Payer: Cigna Commercial |
$87.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$45.56
|
| Rate for Payer: Oxford Commercial |
$35.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$35.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.98
|
|
|
NEEDLE BIOPSY 18GA X 20 CM
|
Facility
|
IP
|
$175.24
|
|
| Hospital Charge Code |
270650846
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.29 |
| Max. Negotiated Rate |
$26.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.29
|
|
|
NEEDLE BIOPSY 18G x 20 CM W/ I
|
Facility
|
OP
|
$1,206.15
|
|
| Hospital Charge Code |
270705769
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$34.25 |
| Max. Negotiated Rate |
$603.08 |
| Rate for Payer: Aetna Commercial |
$458.34
|
| Rate for Payer: Aetna Medicare Advantage |
$361.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$307.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$307.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$307.57
|
| Rate for Payer: Cigna Commercial |
$603.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$313.60
|
| Rate for Payer: Oxford Commercial |
$241.23
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$180.92
|
| Rate for Payer: UnitedHealthcare Commercial |
$241.23
|
| Rate for Payer: UnitedHealthcare Community & State |
$38.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$34.25
|
|
|
NEEDLE BIOPSY 18G x 20 CM W/ I
|
Facility
|
IP
|
$1,206.15
|
|
| Hospital Charge Code |
270705769
|
|
Hospital Revenue Code
|
279
|
| Min. Negotiated Rate |
$180.92 |
| Max. Negotiated Rate |
$180.92 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$180.92
|
|
|
NEEDLE BIOPSY 20 GA X 11 CM
|
Facility
|
IP
|
$300.57
|
|
| Hospital Charge Code |
270684059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.09 |
| Max. Negotiated Rate |
$45.09 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.09
|
|
|
NEEDLE BIOPSY 20 GA X 11 CM
|
Facility
|
OP
|
$300.57
|
|
| Hospital Charge Code |
270684059
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.54 |
| Max. Negotiated Rate |
$150.28 |
| Rate for Payer: Aetna Commercial |
$114.22
|
| Rate for Payer: Aetna Medicare Advantage |
$90.17
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.65
|
| Rate for Payer: Cigna Commercial |
$150.28
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$78.15
|
| Rate for Payer: Oxford Commercial |
$60.11
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.09
|
| Rate for Payer: UnitedHealthcare Commercial |
$60.11
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.50
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.54
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
IP
|
$285.77
|
|
| Hospital Charge Code |
270665761
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.87 |
| Max. Negotiated Rate |
$42.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
OP
|
$285.77
|
|
| Hospital Charge Code |
270665761R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.12 |
| Max. Negotiated Rate |
$142.88 |
| Rate for Payer: Aetna Commercial |
$108.59
|
| Rate for Payer: Aetna Medicare Advantage |
$85.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$72.87
|
| Rate for Payer: Cigna Commercial |
$142.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$74.30
|
| Rate for Payer: Oxford Commercial |
$57.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$57.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.12
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
IP
|
$285.77
|
|
| Hospital Charge Code |
270665761R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.87 |
| Max. Negotiated Rate |
$42.87 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
|
|
NEEDLE BIOPSY 20G x 20cm
|
Facility
|
OP
|
$285.77
|
|
| Hospital Charge Code |
270665761
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.12 |
| Max. Negotiated Rate |
$142.88 |
| Rate for Payer: Aetna Commercial |
$108.59
|
| Rate for Payer: Aetna Medicare Advantage |
$85.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$72.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$72.87
|
| Rate for Payer: Cigna Commercial |
$142.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$74.30
|
| Rate for Payer: Oxford Commercial |
$57.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$42.87
|
| Rate for Payer: UnitedHealthcare Commercial |
$57.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.12
|
|
|
NEEDLE BIOPSY 20X20 W/I TEMNO
|
Facility
|
OP
|
$301.99
|
|
| Hospital Charge Code |
270683766
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.58 |
| Max. Negotiated Rate |
$151.00 |
| Rate for Payer: Aetna Commercial |
$114.76
|
| Rate for Payer: Aetna Medicare Advantage |
$90.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$77.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$77.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$77.01
|
| Rate for Payer: Cigna Commercial |
$151.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$78.52
|
| Rate for Payer: Oxford Commercial |
$60.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$60.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.54
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.58
|
|
|
NEEDLE BIOPSY 20X20 W/I TEMNO
|
Facility
|
IP
|
$301.99
|
|
| Hospital Charge Code |
270683766
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.30 |
| Max. Negotiated Rate |
$45.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.30
|
|
|
NEEDLE BIOPSY 22X15 G01278
|
Facility
|
OP
|
$126.70
|
|
| Hospital Charge Code |
270661640
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.60 |
| Max. Negotiated Rate |
$63.35 |
| Rate for Payer: Aetna Commercial |
$48.15
|
| Rate for Payer: Aetna Medicare Advantage |
$38.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.31
|
| Rate for Payer: Cigna Commercial |
$63.35
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.94
|
| Rate for Payer: Oxford Commercial |
$25.34
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.34
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.60
|
|