|
NEEDLE CUTTING .067X2.953
|
Facility
|
OP
|
$22.90
|
|
| Hospital Charge Code |
270669503
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.65 |
| Max. Negotiated Rate |
$11.45 |
| Rate for Payer: Aetna Commercial |
$8.70
|
| Rate for Payer: Aetna Medicare Advantage |
$6.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.84
|
| Rate for Payer: Cigna Commercial |
$11.45
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.95
|
| Rate for Payer: Oxford Commercial |
$4.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.58
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.65
|
|
|
NEEDLE CUTTING .067X2.953
|
Facility
|
IP
|
$22.90
|
|
| Hospital Charge Code |
270669503
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.44 |
| Max. Negotiated Rate |
$3.44 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.44
|
|
|
NEEDLE CYSTOTOME IRRIGATING
|
Facility
|
IP
|
$21.58
|
|
| Hospital Charge Code |
270651663
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.24 |
| Max. Negotiated Rate |
$3.24 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.24
|
|
|
NEEDLE CYSTOTOME IRRIGATING
|
Facility
|
OP
|
$21.58
|
|
| Hospital Charge Code |
270651663
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.61 |
| Max. Negotiated Rate |
$10.79 |
| Rate for Payer: Aetna Commercial |
$8.20
|
| Rate for Payer: Aetna Medicare Advantage |
$6.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.50
|
| Rate for Payer: Cigna Commercial |
$10.79
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.61
|
| Rate for Payer: Oxford Commercial |
$4.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.24
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.32
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.61
|
|
|
NEEDLE DELIVERY 10GAx10CM STER
|
Facility
|
IP
|
$200.51
|
|
| Hospital Charge Code |
270676234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.08 |
| Max. Negotiated Rate |
$30.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
|
|
NEEDLE DELIVERY 10GAx10CM STER
|
Facility
|
OP
|
$200.51
|
|
| Hospital Charge Code |
270676234
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.69 |
| Max. Negotiated Rate |
$100.25 |
| Rate for Payer: Aetna Commercial |
$76.19
|
| Rate for Payer: Aetna Medicare Advantage |
$60.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.13
|
| Rate for Payer: Cigna Commercial |
$100.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.13
|
| Rate for Payer: Oxford Commercial |
$40.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.69
|
|
|
NEEDLE DELIVERY 12G 10CM
|
Facility
|
OP
|
$200.51
|
|
| Hospital Charge Code |
270649694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.69 |
| Max. Negotiated Rate |
$100.25 |
| Rate for Payer: Aetna Commercial |
$76.19
|
| Rate for Payer: Aetna Medicare Advantage |
$60.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.13
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.13
|
| Rate for Payer: Cigna Commercial |
$100.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.13
|
| Rate for Payer: Oxford Commercial |
$40.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.34
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.69
|
|
|
NEEDLE DELIVERY 12G 10CM
|
Facility
|
IP
|
$200.51
|
|
| Hospital Charge Code |
270649694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.08 |
| Max. Negotiated Rate |
$30.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.08
|
|
|
NEEDLE DELIVERY 12G 10cm CVD
|
Facility
|
OP
|
$973.35
|
|
| Hospital Charge Code |
270647564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.64 |
| Max. Negotiated Rate |
$486.68 |
| Rate for Payer: Aetna Commercial |
$369.87
|
| Rate for Payer: Aetna Medicare Advantage |
$292.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.20
|
| Rate for Payer: Cigna Commercial |
$486.68
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$253.07
|
| Rate for Payer: Oxford Commercial |
$194.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$194.67
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.76
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.64
|
|
|
NEEDLE DELIVERY 12G 10cm CVD
|
Facility
|
IP
|
$973.35
|
|
| Hospital Charge Code |
270647564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.00 |
| Max. Negotiated Rate |
$146.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.00
|
|
|
NEEDLE DRIVER LARGE SUTURE CUT
|
Facility
|
OP
|
$12,000.00
|
|
| Hospital Charge Code |
270663982
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$340.80 |
| Max. Negotiated Rate |
$6,000.00 |
| Rate for Payer: Aetna Commercial |
$4,560.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,600.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,060.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,060.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,060.00
|
| Rate for Payer: Cigna Commercial |
$6,000.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,120.00
|
| Rate for Payer: Oxford Commercial |
$2,400.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,800.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,400.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$379.20
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$340.80
|
|
|
NEEDLE DRIVER LARGE SUTURE CUT
|
Facility
|
IP
|
$12,000.00
|
|
| Hospital Charge Code |
270663982
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,800.00 |
| Max. Negotiated Rate |
$1,800.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,800.00
|
|
|
NEEDLE ECHO BRIGHT 22G STIMULA
|
Facility
|
IP
|
$68.50
|
|
| Hospital Charge Code |
270676894
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.28 |
| Max. Negotiated Rate |
$10.28 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.28
|
|
|
NEEDLE ECHO BRIGHT 22G STIMULA
|
Facility
|
OP
|
$68.50
|
|
| Hospital Charge Code |
270676894
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.95 |
| Max. Negotiated Rate |
$34.25 |
| Rate for Payer: Aetna Commercial |
$26.03
|
| Rate for Payer: Aetna Medicare Advantage |
$20.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.47
|
| Rate for Payer: Cigna Commercial |
$34.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.81
|
| Rate for Payer: Oxford Commercial |
$13.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.28
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.16
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.95
|
|
|
NEEDLE ECHOGENIC 9cm
|
Facility
|
OP
|
$25.00
|
|
| Hospital Charge Code |
270669623
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.71 |
| Max. Negotiated Rate |
$12.50 |
| Rate for Payer: Aetna Commercial |
$9.50
|
| Rate for Payer: Aetna Medicare Advantage |
$7.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.38
|
| Rate for Payer: Cigna Commercial |
$12.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.50
|
| Rate for Payer: Oxford Commercial |
$5.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.71
|
|
|
NEEDLE ECHOGENIC 9cm
|
Facility
|
IP
|
$25.00
|
|
| Hospital Charge Code |
270669623
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.75 |
| Max. Negotiated Rate |
$3.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.75
|
|
|
NEEDLE ECHO STIM 360 20gaX4in
|
Facility
|
IP
|
$69.24
|
|
| Hospital Charge Code |
270679864
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.39 |
| Max. Negotiated Rate |
$10.39 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.39
|
|
|
NEEDLE ECHO STIM 360 20gaX4in
|
Facility
|
OP
|
$69.24
|
|
| Hospital Charge Code |
270679864
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.97 |
| Max. Negotiated Rate |
$34.62 |
| Rate for Payer: Aetna Commercial |
$26.31
|
| Rate for Payer: Aetna Medicare Advantage |
$20.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.66
|
| Rate for Payer: Cigna Commercial |
$34.62
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.00
|
| Rate for Payer: Oxford Commercial |
$13.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.39
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.97
|
|
|
NEEDLE ECHO STIM 360 20gaX6in
|
Facility
|
OP
|
$73.40
|
|
| Hospital Charge Code |
270679863
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.08 |
| Max. Negotiated Rate |
$36.70 |
| Rate for Payer: Aetna Commercial |
$27.89
|
| Rate for Payer: Aetna Medicare Advantage |
$22.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.72
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.72
|
| Rate for Payer: Cigna Commercial |
$36.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.08
|
| Rate for Payer: Oxford Commercial |
$14.68
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$14.68
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.08
|
|
|
NEEDLE ECHO STIM 360 20gaX6in
|
Facility
|
IP
|
$73.40
|
|
| Hospital Charge Code |
270679863
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.01 |
| Max. Negotiated Rate |
$11.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.01
|
|
|
NEEDLE ECHOTIP ULTA 19G G31520
|
Facility
|
OP
|
$1,311.00
|
|
| Hospital Charge Code |
270642280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.23 |
| Max. Negotiated Rate |
$655.50 |
| Rate for Payer: Aetna Commercial |
$498.18
|
| Rate for Payer: Aetna Medicare Advantage |
$393.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$334.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$334.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$334.31
|
| Rate for Payer: Cigna Commercial |
$655.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$340.86
|
| Rate for Payer: Oxford Commercial |
$262.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$196.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$262.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$41.43
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.23
|
|
|
NEEDLE ECHOTIP ULTA 19G G31520
|
Facility
|
IP
|
$1,311.00
|
|
| Hospital Charge Code |
270642280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$196.65 |
| Max. Negotiated Rate |
$196.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$196.65
|
|
|
NEEDLE ECHOTIP ULTRASO ECHO-25
|
Facility
|
IP
|
$1,349.95
|
|
| Hospital Charge Code |
270633345
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$202.49 |
| Max. Negotiated Rate |
$202.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$202.49
|
|
|
NEEDLE ECHOTIP ULTRASO ECHO-25
|
Facility
|
OP
|
$1,349.95
|
|
| Hospital Charge Code |
270633345
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$38.34 |
| Max. Negotiated Rate |
$674.98 |
| Rate for Payer: Aetna Commercial |
$512.98
|
| Rate for Payer: Aetna Medicare Advantage |
$404.99
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$344.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$344.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$344.24
|
| Rate for Payer: Cigna Commercial |
$674.98
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$350.99
|
| Rate for Payer: Oxford Commercial |
$269.99
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$202.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$269.99
|
| Rate for Payer: UnitedHealthcare Community & State |
$42.66
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$38.34
|
|
|
NEEDLE ELECTRD 2.0 COLTIP 0118
|
Facility
|
OP
|
$75.07
|
|
| Hospital Charge Code |
270635317
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.13 |
| Max. Negotiated Rate |
$37.53 |
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Medicare Advantage |
$22.52
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.14
|
| Rate for Payer: Cigna Commercial |
$37.53
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.52
|
| Rate for Payer: Oxford Commercial |
$15.01
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.26
|
| Rate for Payer: UnitedHealthcare Commercial |
$15.01
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.37
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.13
|
|