|
NEEDLE RETROBULAR 25G
|
Facility
|
OP
|
$69.00
|
|
| Hospital Charge Code |
270331536
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.96 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Aetna Commercial |
$26.22
|
| Rate for Payer: Aetna Medicare Advantage |
$20.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.59
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.59
|
| Rate for Payer: Cigna Commercial |
$34.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.94
|
| Rate for Payer: Oxford Commercial |
$13.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.96
|
|
|
NEEDLE RETROBULAR 25G
|
Facility
|
IP
|
$69.00
|
|
| Hospital Charge Code |
270331536
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.35 |
| Max. Negotiated Rate |
$10.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.35
|
|
|
NEEDLE RETROBULBAR
|
Facility
|
IP
|
$23.83
|
|
| Hospital Charge Code |
270658519
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.57 |
| Max. Negotiated Rate |
$3.57 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.57
|
|
|
NEEDLE RETROBULBAR
|
Facility
|
OP
|
$23.83
|
|
| Hospital Charge Code |
270658519
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.68 |
| Max. Negotiated Rate |
$11.91 |
| Rate for Payer: Aetna Commercial |
$9.06
|
| Rate for Payer: Aetna Medicare Advantage |
$7.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.08
|
| Rate for Payer: Cigna Commercial |
$11.91
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.20
|
| Rate for Payer: Oxford Commercial |
$4.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.57
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.68
|
|
|
NEEDLE RF 20 10
|
Facility
|
IP
|
$55.00
|
|
| Hospital Charge Code |
270686940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.25 |
| Max. Negotiated Rate |
$8.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.25
|
|
|
NEEDLE RF 20 10
|
Facility
|
OP
|
$55.00
|
|
| Hospital Charge Code |
270686940
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.56 |
| Max. Negotiated Rate |
$27.50 |
| Rate for Payer: Aetna Commercial |
$20.90
|
| Rate for Payer: Aetna Medicare Advantage |
$16.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$14.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$14.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$14.03
|
| Rate for Payer: Cigna Commercial |
$27.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$14.30
|
| Rate for Payer: Oxford Commercial |
$11.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$8.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$11.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.56
|
|
|
NEEDLE RIDGE 23G
|
Facility
|
OP
|
$247.50
|
|
| Hospital Charge Code |
270677673
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.03 |
| Max. Negotiated Rate |
$123.75 |
| Rate for Payer: Aetna Commercial |
$94.05
|
| Rate for Payer: Aetna Medicare Advantage |
$74.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.11
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.11
|
| Rate for Payer: Cigna Commercial |
$123.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$64.35
|
| Rate for Payer: Oxford Commercial |
$49.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$49.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.82
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.03
|
|
|
NEEDLE RIDGE 23G
|
Facility
|
IP
|
$247.50
|
|
| Hospital Charge Code |
270677673
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.12 |
| Max. Negotiated Rate |
$37.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.12
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
OP
|
$165.00
|
|
| Hospital Charge Code |
270674048N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.69 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$62.70
|
| Rate for Payer: Aetna Medicare Advantage |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.08
|
| Rate for Payer: Cigna Commercial |
$82.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.90
|
| Rate for Payer: Oxford Commercial |
$33.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$33.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.69
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
IP
|
$165.00
|
|
| Hospital Charge Code |
270674048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
IP
|
$165.00
|
|
| Hospital Charge Code |
270674048N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.75 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
|
|
NEEDLE RPLN 20Gx7CM
|
Facility
|
OP
|
$165.00
|
|
| Hospital Charge Code |
270674048
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.69 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$62.70
|
| Rate for Payer: Aetna Medicare Advantage |
$49.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.08
|
| Rate for Payer: Cigna Commercial |
$82.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$42.90
|
| Rate for Payer: Oxford Commercial |
$33.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$33.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.69
|
|
|
NEEDLE SAF-T WING 21G 3/4
|
Facility
|
IP
|
$126.78
|
|
| Hospital Charge Code |
270649426
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.02 |
| Max. Negotiated Rate |
$19.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.02
|
|
|
NEEDLE SAF-T WING 21G 3/4
|
Facility
|
OP
|
$126.78
|
|
| Hospital Charge Code |
270649426
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.60 |
| Max. Negotiated Rate |
$63.39 |
| Rate for Payer: Aetna Commercial |
$48.18
|
| Rate for Payer: Aetna Medicare Advantage |
$38.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.33
|
| Rate for Payer: Cigna Commercial |
$63.39
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.96
|
| Rate for Payer: Oxford Commercial |
$25.36
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.36
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.60
|
|
|
NEEDLE SCORPIO CAPSULE CLCOSE
|
Facility
|
OP
|
$245.00
|
|
| Hospital Charge Code |
270687985
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.96 |
| Max. Negotiated Rate |
$122.50 |
| Rate for Payer: Aetna Commercial |
$93.10
|
| Rate for Payer: Aetna Medicare Advantage |
$73.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$62.48
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$62.48
|
| Rate for Payer: Cigna Commercial |
$122.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$63.70
|
| Rate for Payer: Oxford Commercial |
$49.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$49.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.96
|
|
|
NEEDLE SCORPIO CAPSULE CLCOSE
|
Facility
|
IP
|
$245.00
|
|
| Hospital Charge Code |
270687985
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.75 |
| Max. Negotiated Rate |
$36.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$36.75
|
|
|
NEEDLE SHORT VERSASTEP 14 GA
|
Facility
|
IP
|
$204.00
|
|
| Hospital Charge Code |
270690400
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.60 |
| Max. Negotiated Rate |
$30.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.60
|
|
|
NEEDLE SHORT VERSASTEP 14 GA
|
Facility
|
OP
|
$204.00
|
|
| Hospital Charge Code |
270690400
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.79 |
| Max. Negotiated Rate |
$102.00 |
| Rate for Payer: Aetna Commercial |
$77.52
|
| Rate for Payer: Aetna Medicare Advantage |
$61.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$52.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$52.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$52.02
|
| Rate for Payer: Cigna Commercial |
$102.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$53.04
|
| Rate for Payer: Oxford Commercial |
$40.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.79
|
|
|
NEEDLE SIDEKICK RIGID
|
Facility
|
IP
|
$225.00
|
|
| Hospital Charge Code |
270662271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.75 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
|
|
NEEDLE SIDEKICK RIGID
|
Facility
|
OP
|
$225.00
|
|
| Hospital Charge Code |
270662271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.39 |
| Max. Negotiated Rate |
$112.50 |
| Rate for Payer: Aetna Commercial |
$85.50
|
| Rate for Payer: Aetna Medicare Advantage |
$67.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$57.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$57.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$57.38
|
| Rate for Payer: Cigna Commercial |
$112.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$58.50
|
| Rate for Payer: Oxford Commercial |
$45.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.39
|
|
|
NEEDLE SLIMLINE 19 GA
|
Facility
|
IP
|
$2,164.27
|
|
| Hospital Charge Code |
270677060
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$324.64 |
| Max. Negotiated Rate |
$324.64 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
|
|
NEEDLE SLIMLINE 19 GA
|
Facility
|
OP
|
$2,164.27
|
|
| Hospital Charge Code |
270677060
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.47 |
| Max. Negotiated Rate |
$1,082.13 |
| Rate for Payer: Aetna Commercial |
$822.42
|
| Rate for Payer: Aetna Medicare Advantage |
$649.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$551.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$551.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$551.89
|
| Rate for Payer: Cigna Commercial |
$1,082.13
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$562.71
|
| Rate for Payer: Oxford Commercial |
$432.85
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$324.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$432.85
|
| Rate for Payer: UnitedHealthcare Community & State |
$68.39
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$61.47
|
|
|
NEEDLE SLIMLINE 25GA 2.4x1.52
|
Facility
|
IP
|
$1,034.65
|
|
| Hospital Charge Code |
270676158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$155.20 |
| Max. Negotiated Rate |
$155.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.20
|
|
|
NEEDLE SLIMLINE 25GA 2.4x1.52
|
Facility
|
OP
|
$1,034.65
|
|
| Hospital Charge Code |
270676158
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.38 |
| Max. Negotiated Rate |
$517.33 |
| Rate for Payer: Aetna Commercial |
$393.17
|
| Rate for Payer: Aetna Medicare Advantage |
$310.39
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$263.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$263.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$263.84
|
| Rate for Payer: Cigna Commercial |
$517.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$269.01
|
| Rate for Payer: Oxford Commercial |
$206.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$155.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$206.93
|
| Rate for Payer: UnitedHealthcare Community & State |
$32.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$29.38
|
|
|
NEEDLE SOFT TISSUE BX 20GX10CM
|
Facility
|
OP
|
$193.44
|
|
| Hospital Charge Code |
270660384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.49 |
| Max. Negotiated Rate |
$96.72 |
| Rate for Payer: Aetna Commercial |
$73.51
|
| Rate for Payer: Aetna Medicare Advantage |
$58.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$49.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$49.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$49.33
|
| Rate for Payer: Cigna Commercial |
$96.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$50.29
|
| Rate for Payer: Oxford Commercial |
$38.69
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$38.69
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.49
|
|