|
NEEDLE SOFT TISSUE BX 20GX10CM
|
Facility
|
IP
|
$193.44
|
|
| Hospital Charge Code |
270660384
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$29.02 |
| Max. Negotiated Rate |
$29.02 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$29.02
|
|
|
NEEDLE SPINAL 150 CM GUIDEWIRE
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270688729
|
|
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 SPINAL 150 CM GUIDEWIRE
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270688729
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE SPINAL 150MM
|
Facility
|
IP
|
$375.00
|
|
| Hospital Charge Code |
270688486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$56.25 |
| Max. Negotiated Rate |
$56.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$56.25
|
|
|
NEEDLE SPINAL 150MM
|
Facility
|
OP
|
$375.00
|
|
| Hospital Charge Code |
270688486
|
|
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 SPINAL 18G/3 1/2 IN
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270601192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$3.80 |
| Rate for Payer: Aetna Commercial |
$2.89
|
| Rate for Payer: Aetna Medicare Advantage |
$2.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.94
|
| Rate for Payer: Cigna Commercial |
$3.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.98
|
| Rate for Payer: Oxford Commercial |
$1.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.22
|
|
|
NEEDLE SPINAL 18G/3 1/2 IN
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270601192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
|
|
NEEDLE SPINAL 18G 3 405174
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270649428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
|
|
NEEDLE SPINAL 18G 3 405174
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270649428
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$3.80 |
| Rate for Payer: Aetna Commercial |
$2.89
|
| Rate for Payer: Aetna Medicare Advantage |
$2.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.94
|
| Rate for Payer: Cigna Commercial |
$3.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.98
|
| Rate for Payer: Oxford Commercial |
$1.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.22
|
|
|
NEEDLE SPINAL 18G 6 408360
|
Facility
|
OP
|
$18.36
|
|
| Hospital Charge Code |
270624952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$9.18 |
| Rate for Payer: Aetna Commercial |
$6.98
|
| Rate for Payer: Aetna Medicare Advantage |
$5.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.68
|
| Rate for Payer: Cigna Commercial |
$9.18
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.77
|
| Rate for Payer: Oxford Commercial |
$3.67
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.67
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.58
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.52
|
|
|
NEEDLE SPINAL 18G 6 408360
|
Facility
|
IP
|
$18.36
|
|
| Hospital Charge Code |
270624952
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.75 |
| Max. Negotiated Rate |
$2.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.75
|
|
|
NEEDLE SPINAL 18Gx180mm
|
Facility
|
IP
|
$85.00
|
|
| Hospital Charge Code |
270674011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.75 |
| Max. Negotiated Rate |
$12.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
|
|
NEEDLE SPINAL 18Gx180mm
|
Facility
|
OP
|
$85.00
|
|
| Hospital Charge Code |
270674011
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.41 |
| Max. Negotiated Rate |
$42.50 |
| Rate for Payer: Aetna Commercial |
$32.30
|
| Rate for Payer: Aetna Medicare Advantage |
$25.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$21.68
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$21.68
|
| Rate for Payer: Cigna Commercial |
$42.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$22.10
|
| Rate for Payer: Oxford Commercial |
$17.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$12.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$17.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.41
|
|
|
NEEDLE SPINAL 18G X 3
|
Facility
|
IP
|
$15.00
|
|
| Hospital Charge Code |
270331657
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.25 |
| Max. Negotiated Rate |
$2.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.25
|
|
|
NEEDLE SPINAL 18G X 3
|
Facility
|
OP
|
$15.00
|
|
| Hospital Charge Code |
270331657
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Aetna Commercial |
$5.70
|
| Rate for Payer: Aetna Medicare Advantage |
$4.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3.83
|
| Rate for Payer: Cigna Commercial |
$7.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3.90
|
| Rate for Payer: Oxford Commercial |
$3.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.47
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.43
|
|
|
NEEDLE SPINAL 20G/1 1/2
|
Facility
|
OP
|
$8.61
|
|
| Hospital Charge Code |
270020062
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.24 |
| Max. Negotiated Rate |
$4.30 |
| Rate for Payer: Aetna Commercial |
$3.27
|
| Rate for Payer: Aetna Medicare Advantage |
$2.58
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.20
|
| Rate for Payer: Cigna Commercial |
$4.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.24
|
| Rate for Payer: Oxford Commercial |
$1.72
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.29
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.72
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.24
|
|
|
NEEDLE SPINAL 20G/1 1/2
|
Facility
|
IP
|
$8.61
|
|
| Hospital Charge Code |
270020062
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.29 |
| Max. Negotiated Rate |
$1.29 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.29
|
|
|
NEEDLE SPINAL 20G 1.5 DISP.
|
Facility
|
IP
|
$7.65
|
|
| Hospital Charge Code |
270649429
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.15 |
| Max. Negotiated Rate |
$1.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.15
|
|
|
NEEDLE SPINAL 20G 1.5 DISP.
|
Facility
|
OP
|
$7.65
|
|
| Hospital Charge Code |
270649429
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$3.83 |
| Rate for Payer: Aetna Commercial |
$2.91
|
| Rate for Payer: Aetna Medicare Advantage |
$2.29
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.95
|
| Rate for Payer: Cigna Commercial |
$3.83
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.99
|
| Rate for Payer: Oxford Commercial |
$1.53
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.53
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.22
|
|
|
NEEDLE SPINAL 20G/3 1/2
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270020063
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$3.80 |
| Rate for Payer: Aetna Commercial |
$2.89
|
| Rate for Payer: Aetna Medicare Advantage |
$2.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.94
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.94
|
| Rate for Payer: Cigna Commercial |
$3.80
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.98
|
| Rate for Payer: Oxford Commercial |
$1.52
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.52
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.22
|
|
|
NEEDLE SPINAL 20G/3 1/2
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270020063
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.14 |
| Max. Negotiated Rate |
$1.14 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.14
|
|
|
NEEDLE SPINAL 22G 1.5 BLACK
|
Facility
|
IP
|
$7.84
|
|
| Hospital Charge Code |
270650250
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.18 |
| Max. Negotiated Rate |
$1.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.18
|
|
|
NEEDLE SPINAL 22G 1.5 BLACK
|
Facility
|
OP
|
$7.84
|
|
| Hospital Charge Code |
270650250
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$3.92 |
| Rate for Payer: Aetna Commercial |
$2.98
|
| Rate for Payer: Aetna Medicare Advantage |
$2.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2.00
|
| Rate for Payer: Cigna Commercial |
$3.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$2.04
|
| Rate for Payer: Oxford Commercial |
$1.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.57
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.22
|
|
|
NEEDLE SPINAL 22G/3
|
Facility
|
IP
|
$16.85
|
|
| Hospital Charge Code |
270020170
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.53 |
| Max. Negotiated Rate |
$2.53 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.53
|
|
|
NEEDLE SPINAL 22G/3
|
Facility
|
OP
|
$16.85
|
|
| Hospital Charge Code |
270020170
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$8.43 |
| Rate for Payer: Aetna Commercial |
$6.40
|
| Rate for Payer: Aetna Medicare Advantage |
$5.05
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.30
|
| Rate for Payer: Cigna Commercial |
$8.43
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.38
|
| Rate for Payer: Oxford Commercial |
$3.37
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.53
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.37
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.48
|
|