|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669699N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$91.20
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$48.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669699
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669699R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669699R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$91.20
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$48.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669699
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$91.20
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$48.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
NEEDLE BIOPSY TEMNO 18G X 10CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669699N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669698
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669698R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$91.20
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$48.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669698
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$91.20
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$48.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
NEEDLE BIOPSY TEMNO 18G X 15CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669698R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$91.20
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$48.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
IP
|
$240.00
|
|
| Hospital Charge Code |
270669697R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$36.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
|
|
NEEDLE BIOPSY TEMNO 18G X 20CM
|
Facility
|
OP
|
$240.00
|
|
| Hospital Charge Code |
270669697R
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.82 |
| Max. Negotiated Rate |
$120.00 |
| Rate for Payer: Aetna Commercial |
$91.20
|
| Rate for Payer: Aetna Medicare Advantage |
$72.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$61.20
|
| Rate for Payer: Cigna Commercial |
$120.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$62.40
|
| Rate for Payer: Oxford Commercial |
$48.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$48.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.82
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2
|
Facility
|
IP
|
$356.50
|
|
| Hospital Charge Code |
270020150
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.48 |
| Max. Negotiated Rate |
$53.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.48
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2
|
Facility
|
OP
|
$356.50
|
|
| Hospital Charge Code |
270020150
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.12 |
| Max. Negotiated Rate |
$178.25 |
| Rate for Payer: Aetna Commercial |
$135.47
|
| Rate for Payer: Aetna Medicare Advantage |
$106.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$90.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$90.91
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$90.91
|
| Rate for Payer: Cigna Commercial |
$178.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$92.69
|
| Rate for Payer: Oxford Commercial |
$71.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$53.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$71.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.12
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2 B
|
Facility
|
IP
|
$1.00
|
|
| Hospital Charge Code |
270020150C
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$0.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.15
|
|
|
NEEDLE BLUNT FILL 18G 1-1/2 B
|
Facility
|
OP
|
$1.00
|
|
| Hospital Charge Code |
270020150C
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$0.50 |
| Rate for Payer: Aetna Commercial |
$0.38
|
| Rate for Payer: Aetna Medicare Advantage |
$0.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$0.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$0.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$0.26
|
| Rate for Payer: Cigna Commercial |
$0.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$0.26
|
| Rate for Payer: Oxford Commercial |
$0.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$0.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.03
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.03
|
|
|
NEEDLE BN CEMENT 11G 6IN INTRO
|
Facility
|
OP
|
$830.00
|
|
| Hospital Charge Code |
270698102
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.57 |
| Max. Negotiated Rate |
$415.00 |
| Rate for Payer: Aetna Commercial |
$315.40
|
| Rate for Payer: Aetna Medicare Advantage |
$249.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$211.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$211.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$211.65
|
| Rate for Payer: Cigna Commercial |
$415.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$215.80
|
| Rate for Payer: Oxford Commercial |
$166.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$124.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$166.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.23
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.57
|
|
|
NEEDLE BN CEMENT 11G 6IN INTRO
|
Facility
|
IP
|
$830.00
|
|
| Hospital Charge Code |
270698102
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$124.50 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$124.50
|
|
|
NEEDLE BONE ACCESS 8G BEV TIP
|
Facility
|
OP
|
$390.00
|
|
| Hospital Charge Code |
270696204
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.08 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$148.20
|
| Rate for Payer: Aetna Medicare Advantage |
$117.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$99.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$99.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$99.45
|
| Rate for Payer: Cigna Commercial |
$195.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$101.40
|
| Rate for Payer: Oxford Commercial |
$78.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$78.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.08
|
|
|
NEEDLE BONE ACCESS 8G BEV TIP
|
Facility
|
IP
|
$390.00
|
|
| Hospital Charge Code |
270696204
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$58.50 |
| Max. Negotiated Rate |
$58.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$58.50
|
|
|
NEEDLE BONE BIOPSY 11G 15 0CM
|
Facility
|
IP
|
$502.55
|
|
| Hospital Charge Code |
270664169
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$75.38 |
| Max. Negotiated Rate |
$75.38 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.38
|
|
|
NEEDLE BONE BIOPSY 11G 15 0CM
|
Facility
|
OP
|
$502.55
|
|
| Hospital Charge Code |
270664169
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.27 |
| Max. Negotiated Rate |
$251.28 |
| Rate for Payer: Aetna Commercial |
$190.97
|
| Rate for Payer: Aetna Medicare Advantage |
$150.76
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$128.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$128.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$128.15
|
| Rate for Payer: Cigna Commercial |
$251.28
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$130.66
|
| Rate for Payer: Oxford Commercial |
$100.51
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$75.38
|
| Rate for Payer: UnitedHealthcare Commercial |
$100.51
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.27
|
|
|
NEEDLE BONE CANNULA 150MM 8G
|
Facility
|
IP
|
$1,125.00
|
|
| Hospital Charge Code |
270692591
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$168.75 |
| Max. Negotiated Rate |
$168.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$168.75
|
|