|
REAMER INBONE TALAR 10MM
|
Facility
|
OP
|
$855.00
|
|
| Hospital Charge Code |
270676978
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.28 |
| Max. Negotiated Rate |
$427.50 |
| Rate for Payer: Aetna Commercial |
$324.90
|
| Rate for Payer: Aetna Medicare Advantage |
$256.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$218.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$218.03
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$218.03
|
| Rate for Payer: Cigna Commercial |
$427.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$222.30
|
| Rate for Payer: Oxford Commercial |
$171.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$128.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$171.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.02
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$24.28
|
|
|
REAMER INBONE TALAR 10MM
|
Facility
|
IP
|
$855.00
|
|
| Hospital Charge Code |
270676978
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$128.25 |
| Max. Negotiated Rate |
$128.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$128.25
|
|
|
REAMER JOINT CONCAVE 20mm
|
Facility
|
IP
|
$1,920.00
|
|
| Hospital Charge Code |
270637497
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$288.00 |
| Max. Negotiated Rate |
$288.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
|
|
REAMER JOINT CONCAVE 20mm
|
Facility
|
OP
|
$1,920.00
|
|
| Hospital Charge Code |
270637497
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$54.53 |
| Max. Negotiated Rate |
$960.00 |
| Rate for Payer: Aetna Commercial |
$729.60
|
| Rate for Payer: Aetna Medicare Advantage |
$576.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$489.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$489.60
|
| Rate for Payer: Cigna Commercial |
$960.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$499.20
|
| Rate for Payer: Oxford Commercial |
$384.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$288.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$384.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$60.67
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$54.53
|
|
|
REAMER LINDEMANN 2.3x45MM J-LA
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674616
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.19
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.83
|
|
|
REAMER LINDEMANN 2.3x45MM J-LA
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674616
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
REAMER LINDEMANN 2.3x45MM MQC
|
Facility
|
IP
|
$381.50
|
|
| Hospital Charge Code |
270674568
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.23 |
| Max. Negotiated Rate |
$57.23 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
|
|
REAMER LINDEMANN 2.3x45MM MQC
|
Facility
|
OP
|
$381.50
|
|
| Hospital Charge Code |
270674568
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.83 |
| Max. Negotiated Rate |
$190.75 |
| Rate for Payer: Aetna Commercial |
$144.97
|
| Rate for Payer: Aetna Medicare Advantage |
$114.45
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.28
|
| Rate for Payer: Cigna Commercial |
$190.75
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.19
|
| Rate for Payer: Oxford Commercial |
$76.30
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.23
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.30
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.83
|
|
|
REAMER LINDEMANN L 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.23 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$163.59
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.93
|
| Rate for Payer: Oxford Commercial |
$86.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$86.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.23
|
|
|
REAMER LINDEMANN L 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LINDEMANN M 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674489
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LINDEMANN M 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674489
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.23 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$163.59
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.93
|
| Rate for Payer: Oxford Commercial |
$86.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$86.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.23
|
|
|
REAMER LINDEMANN S 2.3x20.2MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
REAMER LINDEMANN S 2.3x20.2MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674488
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.23 |
| Max. Negotiated Rate |
$215.25 |
| Rate for Payer: Aetna Commercial |
$163.59
|
| Rate for Payer: Aetna Medicare Advantage |
$129.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.78
|
| Rate for Payer: Cigna Commercial |
$215.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.93
|
| Rate for Payer: Oxford Commercial |
$86.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$86.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.60
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.23
|
|
|
REAMER LONG CANN 3.2MM
|
Facility
|
IP
|
$812.50
|
|
| Hospital Charge Code |
270698516
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.88 |
| Max. Negotiated Rate |
$121.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$121.88
|
|
|
REAMER LONG CANN 3.2MM
|
Facility
|
OP
|
$812.50
|
|
| Hospital Charge Code |
270698516
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$23.07 |
| Max. Negotiated Rate |
$406.25 |
| Rate for Payer: Aetna Commercial |
$308.75
|
| Rate for Payer: Aetna Medicare Advantage |
$243.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$207.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$207.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$207.19
|
| Rate for Payer: Cigna Commercial |
$406.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$211.25
|
| Rate for Payer: Oxford Commercial |
$162.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$121.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$162.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$25.68
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.07
|
|
|
REAMER LONG CANN 4.0MM
|
Facility
|
IP
|
$1,218.75
|
|
| Hospital Charge Code |
270698974
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$182.81 |
| Max. Negotiated Rate |
$182.81 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$182.81
|
|
|
REAMER LONG CANN 4.0MM
|
Facility
|
OP
|
$1,218.75
|
|
| Hospital Charge Code |
270698974
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.61 |
| Max. Negotiated Rate |
$609.38 |
| Rate for Payer: Aetna Commercial |
$463.12
|
| Rate for Payer: Aetna Medicare Advantage |
$365.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$310.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$310.78
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$310.78
|
| Rate for Payer: Cigna Commercial |
$609.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$316.88
|
| Rate for Payer: Oxford Commercial |
$243.75
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$182.81
|
| Rate for Payer: UnitedHealthcare Commercial |
$243.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$38.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$34.61
|
|
|
REAMER LOW PROFILE 10.5MM STER
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270678477
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.69 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$253.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.69
|
|
|
REAMER LOW PROFILE 10.5MM STER
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270678477
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 10MM STR
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270646570
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.69 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$253.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.69
|
|
|
REAMER LOW PROFILE 10MM STR
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270646570
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 11MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270675209
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$27.69 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$370.50
|
| Rate for Payer: Aetna Medicare Advantage |
$292.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$248.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$248.62
|
| Rate for Payer: Cigna Commercial |
$487.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$253.50
|
| Rate for Payer: Oxford Commercial |
$195.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$195.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$30.81
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$27.69
|
|
|
REAMER LOW PROFILE 11MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270675209
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
REAMER LOW PROFILE 8MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270678476
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|