|
NEEDLE SPINAL 22G/3 1/2
|
Facility
|
OP
|
$7.60
|
|
| Hospital Charge Code |
270020065
|
|
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 22G/3 1/2
|
Facility
|
IP
|
$7.60
|
|
| Hospital Charge Code |
270020065
|
|
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 5
|
Facility
|
IP
|
$18.81
|
|
| Hospital Charge Code |
270604861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.82 |
| Max. Negotiated Rate |
$2.82 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.82
|
|
|
NEEDLE SPINAL 22G 5
|
Facility
|
OP
|
$18.81
|
|
| Hospital Charge Code |
270604861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.53 |
| Max. Negotiated Rate |
$9.40 |
| Rate for Payer: Aetna Commercial |
$7.15
|
| Rate for Payer: Aetna Medicare Advantage |
$5.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.80
|
| Rate for Payer: Cigna Commercial |
$9.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.89
|
| Rate for Payer: Oxford Commercial |
$3.76
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.82
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.76
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.53
|
|
|
NEEDLE SPINAL 22GA 5 SHORT
|
Facility
|
IP
|
$7.39
|
|
| Hospital Charge Code |
270650542
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.11 |
| Max. Negotiated Rate |
$1.11 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.11
|
|
|
NEEDLE SPINAL 22GA 5 SHORT
|
Facility
|
OP
|
$7.39
|
|
| Hospital Charge Code |
270650542
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.21 |
| Max. Negotiated Rate |
$3.69 |
| Rate for Payer: Aetna Commercial |
$2.81
|
| Rate for Payer: Aetna Medicare Advantage |
$2.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.88
|
| Rate for Payer: Cigna Commercial |
$3.69
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.92
|
| Rate for Payer: Oxford Commercial |
$1.48
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.11
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.48
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.23
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.21
|
|
|
NEEDLE SPINAL 22gaX5 SH 183172
|
Facility
|
OP
|
$27.84
|
|
| Hospital Charge Code |
270632099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.79 |
| Max. Negotiated Rate |
$13.92 |
| Rate for Payer: Aetna Commercial |
$10.58
|
| Rate for Payer: Aetna Medicare Advantage |
$8.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$7.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$7.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$7.10
|
| Rate for Payer: Cigna Commercial |
$13.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$7.24
|
| Rate for Payer: Oxford Commercial |
$5.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.57
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.79
|
|
|
NEEDLE SPINAL 22gaX5 SH 183172
|
Facility
|
IP
|
$27.84
|
|
| Hospital Charge Code |
270632099
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.18 |
| Max. Negotiated Rate |
$4.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$4.18
|
|
|
NEEDLE SPINAL 22G X 3.5
|
Facility
|
IP
|
$45.50
|
|
| Hospital Charge Code |
270670976
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.83 |
| Max. Negotiated Rate |
$6.83 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.83
|
|
|
NEEDLE SPINAL 22G X 3.5
|
Facility
|
OP
|
$45.50
|
|
| Hospital Charge Code |
270670976
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.29 |
| Max. Negotiated Rate |
$22.75 |
| Rate for Payer: Aetna Commercial |
$17.29
|
| Rate for Payer: Aetna Medicare Advantage |
$13.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$11.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$11.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$11.60
|
| Rate for Payer: Cigna Commercial |
$22.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$11.83
|
| Rate for Payer: Oxford Commercial |
$9.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$6.83
|
| Rate for Payer: UnitedHealthcare Commercial |
$9.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.44
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.29
|
|
|
NEEDLE SPINAL 22G X 3 DISP
|
Facility
|
OP
|
$15.00
|
|
| Hospital Charge Code |
270331253
|
|
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 22G X 3 DISP
|
Facility
|
IP
|
$15.00
|
|
| Hospital Charge Code |
270331253
|
|
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 22G X 8
|
Facility
|
IP
|
$107.89
|
|
| Hospital Charge Code |
270670981
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.18 |
| Max. Negotiated Rate |
$16.18 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.18
|
|
|
NEEDLE SPINAL 22G X 8
|
Facility
|
OP
|
$107.89
|
|
| Hospital Charge Code |
270670981
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.06 |
| Max. Negotiated Rate |
$53.95 |
| Rate for Payer: Aetna Commercial |
$41.00
|
| Rate for Payer: Aetna Medicare Advantage |
$32.37
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$27.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$27.51
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$27.51
|
| Rate for Payer: Cigna Commercial |
$53.95
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$28.05
|
| Rate for Payer: Oxford Commercial |
$21.58
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$16.18
|
| Rate for Payer: UnitedHealthcare Commercial |
$21.58
|
| Rate for Payer: UnitedHealthcare Community & State |
$3.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.06
|
|
|
NEEDLE SPINAL 22x3.5 SH 183106
|
Facility
|
IP
|
$21.80
|
|
| Hospital Charge Code |
270632100
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.27 |
| Max. Negotiated Rate |
$3.27 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.27
|
|
|
NEEDLE SPINAL 22x3.5 SH 183106
|
Facility
|
OP
|
$21.80
|
|
| Hospital Charge Code |
270632100
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.62 |
| Max. Negotiated Rate |
$10.90 |
| Rate for Payer: Aetna Commercial |
$8.28
|
| Rate for Payer: Aetna Medicare Advantage |
$6.54
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.56
|
| Rate for Payer: Cigna Commercial |
$10.90
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.67
|
| Rate for Payer: Oxford Commercial |
$4.36
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.27
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.36
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.62
|
|
|
NEEDLE SPINAL 25G 3
|
Facility
|
OP
|
$16.00
|
|
| Hospital Charge Code |
270332065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.45 |
| Max. Negotiated Rate |
$8.00 |
| Rate for Payer: Aetna Commercial |
$6.08
|
| Rate for Payer: Aetna Medicare Advantage |
$4.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.08
|
| Rate for Payer: Cigna Commercial |
$8.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.16
|
| Rate for Payer: Oxford Commercial |
$3.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.45
|
|
|
NEEDLE SPINAL 25G 3
|
Facility
|
IP
|
$16.00
|
|
| Hospital Charge Code |
270332065
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$2.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.40
|
|
|
NEEDLE SPINAL 25G 3.5 405180
|
Facility
|
IP
|
$7.44
|
|
| Hospital Charge Code |
270624546
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.12 |
| Max. Negotiated Rate |
$1.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.12
|
|
|
NEEDLE SPINAL 25G 3.5 405180
|
Facility
|
OP
|
$7.44
|
|
| Hospital Charge Code |
270624546
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.21 |
| Max. Negotiated Rate |
$3.72 |
| Rate for Payer: Aetna Commercial |
$2.83
|
| Rate for Payer: Aetna Medicare Advantage |
$2.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.90
|
| Rate for Payer: Cigna Commercial |
$3.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.93
|
| Rate for Payer: Oxford Commercial |
$1.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.49
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.24
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.21
|
|
|
NEEDLE SPINAL CHIBA 22G 6
|
Facility
|
IP
|
$52.76
|
|
| Hospital Charge Code |
270658291
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.91 |
| Max. Negotiated Rate |
$7.91 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.91
|
|
|
NEEDLE SPINAL CHIBA 22G 6
|
Facility
|
OP
|
$52.76
|
|
| Hospital Charge Code |
270658291
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.50 |
| Max. Negotiated Rate |
$26.38 |
| Rate for Payer: Aetna Commercial |
$20.05
|
| Rate for Payer: Aetna Medicare Advantage |
$15.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$13.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$13.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$13.45
|
| Rate for Payer: Cigna Commercial |
$26.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$13.72
|
| Rate for Payer: Oxford Commercial |
$10.55
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$7.91
|
| Rate for Payer: UnitedHealthcare Commercial |
$10.55
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.50
|
|
|
NEEDLE SPINAL DISP 22G X 3 1/2
|
Facility
|
OP
|
$16.00
|
|
| Hospital Charge Code |
270331171
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.45 |
| Max. Negotiated Rate |
$8.00 |
| Rate for Payer: Aetna Commercial |
$6.08
|
| Rate for Payer: Aetna Medicare Advantage |
$4.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.08
|
| Rate for Payer: Cigna Commercial |
$8.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.16
|
| Rate for Payer: Oxford Commercial |
$3.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.45
|
|
|
NEEDLE SPINAL DISP 22G X 3 1/2
|
Facility
|
IP
|
$16.00
|
|
| Hospital Charge Code |
270331171
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$2.40 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.40
|
|
|
NEEDLE SPINAL QUINCKE 22G 7
|
Facility
|
OP
|
$19.63
|
|
| Hospital Charge Code |
270613638
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.56 |
| Max. Negotiated Rate |
$9.81 |
| Rate for Payer: Aetna Commercial |
$7.46
|
| Rate for Payer: Aetna Medicare Advantage |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.01
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.01
|
| Rate for Payer: Cigna Commercial |
$9.81
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$5.10
|
| Rate for Payer: Oxford Commercial |
$3.93
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.94
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.93
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.62
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.56
|
|