|
NEEDLE ELECTRD 2.0 COLTIP 0118
|
Facility
|
IP
|
$75.07
|
|
| Hospital Charge Code |
270635317
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.26 |
| Max. Negotiated Rate |
$11.26 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.26
|
|
|
NEEDLE ELECTRODE
|
Facility
|
OP
|
$471.00
|
|
| Hospital Charge Code |
270331275
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.38 |
| Max. Negotiated Rate |
$235.50 |
| Rate for Payer: Aetna Commercial |
$178.98
|
| Rate for Payer: Aetna Medicare Advantage |
$141.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$120.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$120.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$120.11
|
| Rate for Payer: Cigna Commercial |
$235.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$122.46
|
| Rate for Payer: Oxford Commercial |
$94.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$94.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13.38
|
|
|
NEEDLE ELECTRODE
|
Facility
|
IP
|
$471.00
|
|
| Hospital Charge Code |
270331275
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$70.65 |
| Max. Negotiated Rate |
$70.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$70.65
|
|
|
NEEDLE ELECTRODE 1
|
Facility
|
OP
|
$5.69
|
|
| Hospital Charge Code |
270645140
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.16 |
| Max. Negotiated Rate |
$2.85 |
| Rate for Payer: Aetna Commercial |
$2.16
|
| Rate for Payer: Aetna Medicare Advantage |
$1.71
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.45
|
| Rate for Payer: Cigna Commercial |
$2.85
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.48
|
| Rate for Payer: Oxford Commercial |
$1.14
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.85
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.14
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.16
|
|
|
NEEDLE ELECTRODE 1
|
Facility
|
IP
|
$5.69
|
|
| Hospital Charge Code |
270645140
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.85 |
| Max. Negotiated Rate |
$0.85 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.85
|
|
|
NEEDLE ELECTROSURGICAL
|
Facility
|
OP
|
$92.00
|
|
| Hospital Charge Code |
270331274
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.61 |
| Max. Negotiated Rate |
$46.00 |
| Rate for Payer: Aetna Commercial |
$34.96
|
| Rate for Payer: Aetna Medicare Advantage |
$27.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.46
|
| Rate for Payer: Cigna Commercial |
$46.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$23.92
|
| Rate for Payer: Oxford Commercial |
$18.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.61
|
|
|
NEEDLE ELECTROSURGICAL
|
Facility
|
IP
|
$92.00
|
|
| Hospital Charge Code |
270331274
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.80 |
| Max. Negotiated Rate |
$13.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.80
|
|
|
NEEDLE ENDOPATH ULTRAVERES 120
|
Facility
|
OP
|
$71.30
|
|
| Hospital Charge Code |
270672240
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.02 |
| Max. Negotiated Rate |
$35.65 |
| Rate for Payer: Aetna Commercial |
$27.09
|
| Rate for Payer: Aetna Medicare Advantage |
$21.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$18.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$18.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$18.18
|
| Rate for Payer: Cigna Commercial |
$35.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.54
|
| Rate for Payer: Oxford Commercial |
$14.26
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.70
|
| Rate for Payer: UnitedHealthcare Commercial |
$14.26
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.02
|
|
|
NEEDLE ENDOPATH ULTRAVERES 120
|
Facility
|
IP
|
$71.30
|
|
| Hospital Charge Code |
270672240
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.70 |
| Max. Negotiated Rate |
$10.70 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.70
|
|
|
NEEDLE EPDRL18X3.5 TUHY 332166
|
Facility
|
IP
|
$36.50
|
|
| Hospital Charge Code |
270639236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.47 |
| Max. Negotiated Rate |
$5.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.47
|
|
|
NEEDLE EPDRL18X3.5 TUHY 332166
|
Facility
|
OP
|
$36.50
|
|
| Hospital Charge Code |
270639236
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.04 |
| Max. Negotiated Rate |
$18.25 |
| Rate for Payer: Aetna Commercial |
$13.87
|
| Rate for Payer: Aetna Medicare Advantage |
$10.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$9.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$9.31
|
| Rate for Payer: Cigna Commercial |
$18.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.49
|
| Rate for Payer: Oxford Commercial |
$7.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.04
|
|
|
NEEDLE EPIDIDURAL TOUHG 20X6
|
Facility
|
IP
|
$40.82
|
|
| Hospital Charge Code |
270670775
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.12 |
| Max. Negotiated Rate |
$6.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.12
|
|
|
NEEDLE EPIDIDURAL TOUHG 20X6
|
Facility
|
OP
|
$40.82
|
|
| Hospital Charge Code |
270670775
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.16 |
| Max. Negotiated Rate |
$20.41 |
| Rate for Payer: Aetna Commercial |
$15.51
|
| Rate for Payer: Aetna Medicare Advantage |
$12.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$10.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$10.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$10.41
|
| Rate for Payer: Cigna Commercial |
$20.41
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$10.61
|
| Rate for Payer: Oxford Commercial |
$8.16
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$8.16
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.16
|
|
|
NEEDLE EPIDURAL TUOHY 20Gx3.5
|
Facility
|
IP
|
$77.64
|
|
| Hospital Charge Code |
270674280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.65 |
| Max. Negotiated Rate |
$11.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.65
|
|
|
NEEDLE EPIDURAL TUOHY 20Gx3.5
|
Facility
|
OP
|
$77.64
|
|
| Hospital Charge Code |
270674280
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.20 |
| Max. Negotiated Rate |
$38.82 |
| Rate for Payer: Aetna Commercial |
$29.50
|
| Rate for Payer: Aetna Medicare Advantage |
$23.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.80
|
| Rate for Payer: Cigna Commercial |
$38.82
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$20.19
|
| Rate for Payer: Oxford Commercial |
$15.53
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$15.53
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.20
|
|
|
NEEDLE EXPRESS SEW FLEX
|
Facility
|
IP
|
$193.00
|
|
| Hospital Charge Code |
270659473
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$28.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.95
|
|
|
NEEDLE EXPRESS SEW FLEX
|
Facility
|
OP
|
$193.00
|
|
| Hospital Charge Code |
270659473
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.48 |
| Max. Negotiated Rate |
$96.50 |
| Rate for Payer: Aetna Commercial |
$73.34
|
| Rate for Payer: Aetna Medicare Advantage |
$57.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.22
|
| Rate for Payer: Cigna Commercial |
$96.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.18
|
| Rate for Payer: Oxford Commercial |
$38.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$28.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$38.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.48
|
|
|
NEEDLE FILTER 18G 1-1/2
|
Facility
|
OP
|
$86.00
|
|
| Hospital Charge Code |
270649419
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.44 |
| Max. Negotiated Rate |
$43.00 |
| Rate for Payer: Aetna Commercial |
$32.68
|
| Rate for Payer: Aetna Medicare Advantage |
$25.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.93
|
| Rate for Payer: Cigna Commercial |
$43.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.36
|
| Rate for Payer: Oxford Commercial |
$17.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.44
|
|
|
NEEDLE FILTER 18G 1-1/2
|
Facility
|
IP
|
$86.00
|
|
| Hospital Charge Code |
270649419
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.90 |
| Max. Negotiated Rate |
$12.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.90
|
|
|
NEEDLE FREE LARGE
|
Facility
|
IP
|
$1,650.00
|
|
| Hospital Charge Code |
270681386
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$247.50 |
| Max. Negotiated Rate |
$247.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$247.50
|
|
|
NEEDLE FREE LARGE
|
Facility
|
OP
|
$1,650.00
|
|
| Hospital Charge Code |
270681386
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.86 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Aetna Commercial |
$627.00
|
| Rate for Payer: Aetna Medicare Advantage |
$495.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$420.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$420.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$420.75
|
| Rate for Payer: Cigna Commercial |
$825.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$429.00
|
| Rate for Payer: Oxford Commercial |
$330.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$247.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$330.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.14
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.86
|
|
|
NEEDLE GUIDE
|
Facility
|
IP
|
$102.00
|
|
| Hospital Charge Code |
4800865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$15.30 |
| Max. Negotiated Rate |
$15.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.30
|
|
|
NEEDLE GUIDE
|
Facility
|
OP
|
$102.00
|
|
| Hospital Charge Code |
4800865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.90 |
| Max. Negotiated Rate |
$51.00 |
| Rate for Payer: Aetna Commercial |
$38.76
|
| Rate for Payer: Aetna Medicare Advantage |
$30.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$26.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$26.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$26.01
|
| Rate for Payer: Cigna Commercial |
$51.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$26.52
|
| Rate for Payer: Oxford Commercial |
$20.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$15.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$20.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.22
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.90
|
|
|
NEEDLE GUIDE ASAP
|
Facility
|
IP
|
$27.00
|
|
| Hospital Charge Code |
270658541
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.05 |
| Max. Negotiated Rate |
$4.05 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.05
|
|
|
NEEDLE GUIDE ASAP
|
Facility
|
OP
|
$27.00
|
|
| Hospital Charge Code |
270658541
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.77 |
| Max. Negotiated Rate |
$13.50 |
| Rate for Payer: Aetna Commercial |
$10.26
|
| Rate for Payer: Aetna Medicare Advantage |
$8.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.88
|
| Rate for Payer: Cigna Commercial |
$13.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.02
|
| Rate for Payer: Oxford Commercial |
$5.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.77
|
|