|
REAMER FLEX W/GUIDE PIN 9mm
|
Facility
|
IP
|
$1,750.00
|
|
| Hospital Charge Code |
270681248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$262.50 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
|
|
REAMER FLEX W/GUIDE PIN 9mm
|
Facility
|
OP
|
$1,750.00
|
|
| Hospital Charge Code |
270681248
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.70 |
| Max. Negotiated Rate |
$875.00 |
| Rate for Payer: Aetna Commercial |
$665.00
|
| Rate for Payer: Aetna Medicare Advantage |
$525.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$446.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$446.25
|
| Rate for Payer: Cigna Commercial |
$875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$455.00
|
| Rate for Payer: Oxford Commercial |
$350.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$262.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$350.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$55.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$49.70
|
|
|
REAMER HEAD 11.5MM
|
Facility
|
IP
|
$1,324.00
|
|
| Hospital Charge Code |
270683130
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$198.60 |
| Max. Negotiated Rate |
$198.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$198.60
|
|
|
REAMER HEAD 11.5MM
|
Facility
|
OP
|
$1,324.00
|
|
| Hospital Charge Code |
270683130
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.60 |
| Max. Negotiated Rate |
$662.00 |
| Rate for Payer: Aetna Commercial |
$503.12
|
| Rate for Payer: Aetna Medicare Advantage |
$397.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$337.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$337.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$337.62
|
| Rate for Payer: Cigna Commercial |
$662.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$344.24
|
| Rate for Payer: Oxford Commercial |
$264.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$198.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$264.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$41.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$37.60
|
|
|
REAMER HEAD 12.5MM RIA
|
Facility
|
IP
|
$1,452.00
|
|
| Hospital Charge Code |
270671814
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$217.80 |
| Max. Negotiated Rate |
$217.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$217.80
|
|
|
REAMER HEAD 12.5MM RIA
|
Facility
|
OP
|
$1,452.00
|
|
| Hospital Charge Code |
270671814
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.24 |
| Max. Negotiated Rate |
$726.00 |
| Rate for Payer: Aetna Commercial |
$551.76
|
| Rate for Payer: Aetna Medicare Advantage |
$435.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$370.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$370.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$370.26
|
| Rate for Payer: Cigna Commercial |
$726.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$377.52
|
| Rate for Payer: Oxford Commercial |
$290.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$217.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$290.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$45.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$41.24
|
|
|
REAMER HEAD 12MM STERILE
|
Facility
|
IP
|
$1,452.00
|
|
| Hospital Charge Code |
270675628
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$217.80 |
| Max. Negotiated Rate |
$217.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$217.80
|
|
|
REAMER HEAD 12MM STERILE
|
Facility
|
OP
|
$1,452.00
|
|
| Hospital Charge Code |
270675628
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.24 |
| Max. Negotiated Rate |
$726.00 |
| Rate for Payer: Aetna Commercial |
$551.76
|
| Rate for Payer: Aetna Medicare Advantage |
$435.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$370.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$370.26
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$370.26
|
| Rate for Payer: Cigna Commercial |
$726.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$377.52
|
| Rate for Payer: Oxford Commercial |
$290.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$217.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$290.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$45.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$41.24
|
|
|
REAMER HEAD 15.5 MM MEDULLARY
|
Facility
|
IP
|
$1,633.85
|
|
| Hospital Charge Code |
270691490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$245.08 |
| Max. Negotiated Rate |
$245.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
|
|
REAMER HEAD 15.5 MM MEDULLARY
|
Facility
|
OP
|
$1,633.85
|
|
| Hospital Charge Code |
270691490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.40 |
| Max. Negotiated Rate |
$816.92 |
| Rate for Payer: Aetna Commercial |
$620.86
|
| Rate for Payer: Aetna Medicare Advantage |
$490.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$416.63
|
| Rate for Payer: Cigna Commercial |
$816.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$424.80
|
| Rate for Payer: Oxford Commercial |
$326.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$326.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.40
|
|
|
REAMER HEAD 16.5 MM MEDULLARY
|
Facility
|
OP
|
$1,633.85
|
|
| Hospital Charge Code |
270691491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.40 |
| Max. Negotiated Rate |
$816.92 |
| Rate for Payer: Aetna Commercial |
$620.86
|
| Rate for Payer: Aetna Medicare Advantage |
$490.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$416.63
|
| Rate for Payer: Cigna Commercial |
$816.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$424.80
|
| Rate for Payer: Oxford Commercial |
$326.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$326.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.40
|
|
|
REAMER HEAD 16.5 MM MEDULLARY
|
Facility
|
IP
|
$1,633.85
|
|
| Hospital Charge Code |
270691491
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$245.08 |
| Max. Negotiated Rate |
$245.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
|
|
REAMER HEAD 17.0 MM MEDULLARY
|
Facility
|
OP
|
$1,633.85
|
|
| Hospital Charge Code |
270691492
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.40 |
| Max. Negotiated Rate |
$816.92 |
| Rate for Payer: Aetna Commercial |
$620.86
|
| Rate for Payer: Aetna Medicare Advantage |
$490.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$416.63
|
| Rate for Payer: Cigna Commercial |
$816.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$424.80
|
| Rate for Payer: Oxford Commercial |
$326.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$326.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.40
|
|
|
REAMER HEAD 17.0 MM MEDULLARY
|
Facility
|
IP
|
$1,633.85
|
|
| Hospital Charge Code |
270691492
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$245.08 |
| Max. Negotiated Rate |
$245.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
|
|
REAMER HEAD 17.5 MM MEDULLARY
|
Facility
|
OP
|
$1,633.85
|
|
| Hospital Charge Code |
270691493
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.40 |
| Max. Negotiated Rate |
$816.92 |
| Rate for Payer: Aetna Commercial |
$620.86
|
| Rate for Payer: Aetna Medicare Advantage |
$490.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$416.63
|
| Rate for Payer: Cigna Commercial |
$816.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$424.80
|
| Rate for Payer: Oxford Commercial |
$326.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$326.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.40
|
|
|
REAMER HEAD 17.5 MM MEDULLARY
|
Facility
|
IP
|
$1,633.85
|
|
| Hospital Charge Code |
270691493
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$245.08 |
| Max. Negotiated Rate |
$245.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
|
|
REAMER HEAD 18.0 MM MEDULLARY
|
Facility
|
OP
|
$1,633.85
|
|
| Hospital Charge Code |
270691494
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.40 |
| Max. Negotiated Rate |
$816.92 |
| Rate for Payer: Aetna Commercial |
$620.86
|
| Rate for Payer: Aetna Medicare Advantage |
$490.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$416.63
|
| Rate for Payer: Cigna Commercial |
$816.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$424.80
|
| Rate for Payer: Oxford Commercial |
$326.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$326.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.40
|
|
|
REAMER HEAD 18.0 MM MEDULLARY
|
Facility
|
IP
|
$1,633.85
|
|
| Hospital Charge Code |
270691494
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$245.08 |
| Max. Negotiated Rate |
$245.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
|
|
REAMER HEAD 18.5 MM MEDULLARY
|
Facility
|
IP
|
$1,633.85
|
|
| Hospital Charge Code |
270691495
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$245.08 |
| Max. Negotiated Rate |
$245.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
|
|
REAMER HEAD 18.5 MM MEDULLARY
|
Facility
|
OP
|
$1,633.85
|
|
| Hospital Charge Code |
270691495
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.40 |
| Max. Negotiated Rate |
$816.92 |
| Rate for Payer: Aetna Commercial |
$620.86
|
| Rate for Payer: Aetna Medicare Advantage |
$490.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$416.63
|
| Rate for Payer: Cigna Commercial |
$816.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$424.80
|
| Rate for Payer: Oxford Commercial |
$326.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$326.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.40
|
|
|
REAMER HEAD 19.0 MM MEDULLARY
|
Facility
|
OP
|
$1,633.85
|
|
| Hospital Charge Code |
270691496
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.40 |
| Max. Negotiated Rate |
$816.92 |
| Rate for Payer: Aetna Commercial |
$620.86
|
| Rate for Payer: Aetna Medicare Advantage |
$490.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$416.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$416.63
|
| Rate for Payer: Cigna Commercial |
$816.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$424.80
|
| Rate for Payer: Oxford Commercial |
$326.77
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$326.77
|
| Rate for Payer: UnitedHealthcare Community & State |
$51.63
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.40
|
|
|
REAMER HEAD 19.0 MM MEDULLARY
|
Facility
|
IP
|
$1,633.85
|
|
| Hospital Charge Code |
270691496
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$245.08 |
| Max. Negotiated Rate |
$245.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$245.08
|
|
|
REAMER HEAD ANGLE S
|
Facility
|
OP
|
$1,475.00
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
270699161
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.89 |
| Max. Negotiated Rate |
$737.50 |
| Rate for Payer: Aetna Commercial |
$560.50
|
| Rate for Payer: Aetna Medicare Advantage |
$442.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$376.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$376.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$376.12
|
| Rate for Payer: Cigna Commercial |
$737.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$383.50
|
| Rate for Payer: Oxford Commercial |
$295.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$221.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$295.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$46.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$41.89
|
|
|
REAMER HEAD ANGLE S
|
Facility
|
IP
|
$1,475.00
|
|
|
Service Code
|
HCPCS A4649
|
| Hospital Charge Code |
270699161
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$221.25 |
| Max. Negotiated Rate |
$221.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$221.25
|
|
|
REAMER HEADED CANNULATED 10MM
|
Facility
|
IP
|
$1,130.00
|
|
| Hospital Charge Code |
270601370
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$169.50 |
| Max. Negotiated Rate |
$169.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$169.50
|
|