|
NEEDLE MULTIFIRE SCORPIAN
|
Facility
|
IP
|
$850.00
|
|
| Hospital Charge Code |
270664265
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$127.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
|
|
NEEDLE NVM5 SSEP
|
Facility
|
OP
|
$5,500.00
|
|
| Hospital Charge Code |
270693099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$156.20 |
| Max. Negotiated Rate |
$2,750.00 |
| Rate for Payer: Aetna Commercial |
$2,090.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,650.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,402.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,402.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,402.50
|
| Rate for Payer: Cigna Commercial |
$2,750.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,430.00
|
| Rate for Payer: Oxford Commercial |
$1,100.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$825.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,100.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$173.80
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$156.20
|
|
|
NEEDLE NVM5 SSEP
|
Facility
|
IP
|
$5,500.00
|
|
| Hospital Charge Code |
270693099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$825.00 |
| Max. Negotiated Rate |
$825.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$825.00
|
|
|
NEEDLE PERCUGUIDE 20G X 7.5 CM
|
Facility
|
OP
|
$120.00
|
|
| Hospital Charge Code |
270331271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.41 |
| Max. Negotiated Rate |
$60.00 |
| Rate for Payer: Aetna Commercial |
$45.60
|
| Rate for Payer: Aetna Medicare Advantage |
$36.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$30.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$30.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$30.60
|
| Rate for Payer: Cigna Commercial |
$60.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$31.20
|
| Rate for Payer: Oxford Commercial |
$24.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$24.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.79
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.41
|
|
|
NEEDLE PERCUGUIDE 20G X 7.5 CM
|
Facility
|
IP
|
$120.00
|
|
| Hospital Charge Code |
270331271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$18.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$18.00
|
|
|
NEEDLE PERCUTANEOUS ENTRY 7.0
|
Facility
|
IP
|
$16.80
|
|
| Hospital Charge Code |
270600701
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.52 |
| Max. Negotiated Rate |
$2.52 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.52
|
|
|
NEEDLE PERCUTANEOUS ENTRY 7.0
|
Facility
|
OP
|
$16.80
|
|
| Hospital Charge Code |
270600701
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$8.40 |
| Rate for Payer: Aetna Commercial |
$6.38
|
| Rate for Payer: Aetna Medicare Advantage |
$5.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.28
|
| Rate for Payer: Cigna Commercial |
$8.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.37
|
| Rate for Payer: Oxford Commercial |
$3.36
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.52
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.36
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.48
|
|
|
NEEDLE PERCUTANEOUS ENTRY 9.0
|
Facility
|
OP
|
$16.45
|
|
| Hospital Charge Code |
270626674
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.47 |
| Max. Negotiated Rate |
$8.22 |
| Rate for Payer: Aetna Commercial |
$6.25
|
| Rate for Payer: Aetna Medicare Advantage |
$4.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.19
|
| Rate for Payer: Cigna Commercial |
$8.22
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.28
|
| Rate for Payer: Oxford Commercial |
$3.29
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.29
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.52
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.47
|
|
|
NEEDLE PERCUTANEOUS ENTRY 9.0
|
Facility
|
IP
|
$16.45
|
|
| Hospital Charge Code |
270626674
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.47 |
| Max. Negotiated Rate |
$2.47 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.47
|
|
|
Needle Pleuristik, Nano Fract
|
Facility
|
IP
|
$12,500.00
|
|
| Hospital Charge Code |
270665968
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1,875.00 |
| Max. Negotiated Rate |
$1,875.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,875.00
|
|
|
Needle Pleuristik, Nano Fract
|
Facility
|
OP
|
$12,500.00
|
|
| Hospital Charge Code |
270665968
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$355.00 |
| Max. Negotiated Rate |
$6,250.00 |
| Rate for Payer: Aetna Commercial |
$4,750.00
|
| Rate for Payer: Aetna Medicare Advantage |
$3,750.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,187.50
|
| Rate for Payer: Cigna Commercial |
$6,250.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,250.00
|
| Rate for Payer: Oxford Commercial |
$2,500.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,875.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$2,500.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$395.00
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$355.00
|
|
|
NEEDLE POWERLOC MAX 19GA 1 IN
|
Facility
|
OP
|
$93.46
|
|
| Hospital Charge Code |
270682856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.65 |
| Max. Negotiated Rate |
$46.73 |
| Rate for Payer: Aetna Commercial |
$35.51
|
| Rate for Payer: Aetna Medicare Advantage |
$28.04
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$23.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$23.83
|
| Rate for Payer: Cigna Commercial |
$46.73
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$24.30
|
| Rate for Payer: Oxford Commercial |
$18.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.69
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.95
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.65
|
|
|
NEEDLE POWERLOC MAX 19GA 1 IN
|
Facility
|
IP
|
$93.46
|
|
| Hospital Charge Code |
270682856
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$14.02 |
| Max. Negotiated Rate |
$14.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$14.02
|
|
|
NEEDLE PRECISION EPIMED 14G
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270679697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.65 |
| Max. Negotiated Rate |
$187.50 |
| Rate for Payer: Aetna Commercial |
$142.50
|
| Rate for Payer: Aetna Medicare Advantage |
$112.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$95.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$95.62
|
| Rate for Payer: Cigna Commercial |
$187.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$97.50
|
| Rate for Payer: Oxford Commercial |
$75.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$75.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.85
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.65
|
|
|
NEEDLE PRECISION EPIMED 14G
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270679697
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE PUNCTURE 2 MM YIP 5 MM
|
Facility
|
IP
|
$491.40
|
|
| Hospital Charge Code |
270691410
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.71 |
| Max. Negotiated Rate |
$73.71 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.71
|
|
|
NEEDLE PUNCTURE 2 MM YIP 5 MM
|
Facility
|
OP
|
$491.40
|
|
| Hospital Charge Code |
270691410
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.96 |
| Max. Negotiated Rate |
$245.70 |
| Rate for Payer: Aetna Commercial |
$186.73
|
| Rate for Payer: Aetna Medicare Advantage |
$147.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$125.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$125.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$125.31
|
| Rate for Payer: Cigna Commercial |
$245.70
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$127.76
|
| Rate for Payer: Oxford Commercial |
$98.28
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.71
|
| Rate for Payer: UnitedHealthcare Commercial |
$98.28
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13.96
|
|
|
NEEDLE QUINCKE 20G 8 YELLOW
|
Facility
|
OP
|
$60.45
|
|
| Hospital Charge Code |
270676693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.72 |
| Max. Negotiated Rate |
$30.23 |
| Rate for Payer: Aetna Commercial |
$22.97
|
| Rate for Payer: Aetna Medicare Advantage |
$18.14
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$15.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$15.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$15.41
|
| Rate for Payer: Cigna Commercial |
$30.23
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$15.72
|
| Rate for Payer: Oxford Commercial |
$12.09
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.07
|
| Rate for Payer: UnitedHealthcare Commercial |
$12.09
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.72
|
|
|
NEEDLE QUINCKE 20G 8 YELLOW
|
Facility
|
IP
|
$60.45
|
|
| Hospital Charge Code |
270676693
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.07 |
| Max. Negotiated Rate |
$9.07 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.07
|
|
|
NEEDLE QUINCKE 22G 10 BLK
|
Facility
|
IP
|
$75.75
|
|
| Hospital Charge Code |
270676692
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.36 |
| Max. Negotiated Rate |
$11.36 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.36
|
|
|
NEEDLE QUINCKE 22G 10 BLK
|
Facility
|
OP
|
$75.75
|
|
| Hospital Charge Code |
270676692
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.15 |
| Max. Negotiated Rate |
$37.88 |
| Rate for Payer: Aetna Commercial |
$28.79
|
| Rate for Payer: Aetna Medicare Advantage |
$22.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$19.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$19.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$19.32
|
| Rate for Payer: Cigna Commercial |
$37.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$19.70
|
| Rate for Payer: Oxford Commercial |
$15.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$11.36
|
| Rate for Payer: UnitedHealthcare Commercial |
$15.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.15
|
|
|
NEEDLE RADIUM IMPLANT
|
Facility
|
OP
|
$318.00
|
|
| Hospital Charge Code |
270335235
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$9.03 |
| Max. Negotiated Rate |
$159.00 |
| Rate for Payer: Aetna Commercial |
$120.84
|
| Rate for Payer: Aetna Medicare Advantage |
$95.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.09
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$63.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.09
|
| Rate for Payer: Cigna Commercial |
$159.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$76.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.03
|
|
|
NEEDLE RADIUM IMPLANT
|
Facility
|
IP
|
$318.00
|
|
| Hospital Charge Code |
270335235
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$47.70 |
| Max. Negotiated Rate |
$76.96 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$63.60
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$76.96
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.70
|
|
|
NEEDLE REGANES 18GA X 5 TUOHY
|
Facility
|
IP
|
$45.90
|
|
| Hospital Charge Code |
270657960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.88 |
| Max. Negotiated Rate |
$6.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.88
|
|
|
NEEDLE REGANES 18GA X 5 TUOHY
|
Facility
|
OP
|
$45.90
|
|
| Hospital Charge Code |
270657960
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.30 |
| Max. Negotiated Rate |
$22.95 |
| Rate for Payer: Aetna Commercial |
$17.44
|
| Rate for Payer: Aetna Medicare Advantage |
$13.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.70
|
| Rate for Payer: Cigna Commercial |
$22.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.93
|
| Rate for Payer: Oxford Commercial |
$9.18
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.18
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.30
|
|