|
REAMER LOW PROFILE 8MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270678476
|
|
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 9MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270675208
|
|
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 9MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270675208
|
|
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 9MM
|
Facility
|
IP
|
$2,175.00
|
|
| Hospital Charge Code |
270668500
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$326.25 |
| Max. Negotiated Rate |
$326.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$326.25
|
|
|
REAMER LOW PROFILE 9MM
|
Facility
|
OP
|
$2,175.00
|
|
| Hospital Charge Code |
270668500
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.77 |
| Max. Negotiated Rate |
$1,087.50 |
| Rate for Payer: Aetna Commercial |
$826.50
|
| Rate for Payer: Aetna Medicare Advantage |
$652.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$554.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$554.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$554.62
|
| Rate for Payer: Cigna Commercial |
$1,087.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$565.50
|
| Rate for Payer: Oxford Commercial |
$435.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$326.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$435.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$68.73
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$61.77
|
|
|
REAMER MEDULLARY 12.5mm
|
Facility
|
OP
|
$1,248.00
|
|
| Hospital Charge Code |
270656602
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$35.44 |
| Max. Negotiated Rate |
$624.00 |
| Rate for Payer: Aetna Commercial |
$474.24
|
| Rate for Payer: Aetna Medicare Advantage |
$374.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$318.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$318.24
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$318.24
|
| Rate for Payer: Cigna Commercial |
$624.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$324.48
|
| Rate for Payer: Oxford Commercial |
$249.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$249.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$39.44
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$35.44
|
|
|
REAMER MEDULLARY 12.5mm
|
Facility
|
IP
|
$1,248.00
|
|
| Hospital Charge Code |
270656602
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$187.20 |
| Max. Negotiated Rate |
$187.20 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$187.20
|
|
|
REAMER MEDULLARY 8.5mm
|
Facility
|
IP
|
$1,324.00
|
|
| Hospital Charge Code |
270682876
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$198.60 |
| Max. Negotiated Rate |
$198.60 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$198.60
|
|
|
REAMER MEDULLARY 8.5mm
|
Facility
|
OP
|
$1,324.00
|
|
| Hospital Charge Code |
270682876
|
|
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 METATARSAL 16MM
|
Facility
|
IP
|
$2,250.00
|
|
| Hospital Charge Code |
270674086
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$337.50 |
| Max. Negotiated Rate |
$337.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
|
|
REAMER METATARSAL 16MM
|
Facility
|
OP
|
$2,250.00
|
|
| Hospital Charge Code |
270674086
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$63.90 |
| Max. Negotiated Rate |
$1,125.00 |
| Rate for Payer: Aetna Commercial |
$855.00
|
| Rate for Payer: Aetna Medicare Advantage |
$675.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$573.75
|
| Rate for Payer: Cigna Commercial |
$1,125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$585.00
|
| Rate for Payer: Oxford Commercial |
$450.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$450.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$71.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$63.90
|
|
|
REAMER METATARSAL 18MM
|
Facility
|
OP
|
$5,750.00
|
|
| Hospital Charge Code |
270669667
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$163.30 |
| Max. Negotiated Rate |
$2,875.00 |
| Rate for Payer: Aetna Commercial |
$2,185.00
|
| Rate for Payer: Aetna Medicare Advantage |
$1,725.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,466.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,466.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,466.25
|
| Rate for Payer: Cigna Commercial |
$2,875.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,495.00
|
| Rate for Payer: Oxford Commercial |
$1,150.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$862.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$181.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$163.30
|
|
|
REAMER METATARSAL 18MM
|
Facility
|
IP
|
$2,250.00
|
|
| Hospital Charge Code |
270674087
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$337.50 |
| Max. Negotiated Rate |
$337.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
|
|
REAMER METATARSAL 18MM
|
Facility
|
OP
|
$2,250.00
|
|
| Hospital Charge Code |
270674087
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$63.90 |
| Max. Negotiated Rate |
$1,125.00 |
| Rate for Payer: Aetna Commercial |
$855.00
|
| Rate for Payer: Aetna Medicare Advantage |
$675.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$573.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$573.75
|
| Rate for Payer: Cigna Commercial |
$1,125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$585.00
|
| Rate for Payer: Oxford Commercial |
$450.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$337.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$450.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$71.10
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$63.90
|
|
|
REAMER METATARSAL 18MM
|
Facility
|
IP
|
$5,750.00
|
|
| Hospital Charge Code |
270669667
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$862.50 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$862.50
|
|
|
REAMER MODULAR 10.5MM HD Q4IM
|
Facility
|
IP
|
$1,725.00
|
|
| Hospital Charge Code |
270694087
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$258.75 |
| Max. Negotiated Rate |
$258.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
|
|
REAMER MODULAR 10.5MM HD Q4IM
|
Facility
|
OP
|
$1,725.00
|
|
| Hospital Charge Code |
270694087
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: Aetna Commercial |
$655.50
|
| Rate for Payer: Aetna Medicare Advantage |
$517.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$439.88
|
| Rate for Payer: Cigna Commercial |
$862.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$448.50
|
| Rate for Payer: Oxford Commercial |
$345.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$345.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$54.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48.99
|
|
|
REAMER MODULAR 11.5MM HD Q4IM
|
Facility
|
OP
|
$1,725.00
|
|
| Hospital Charge Code |
270694088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: Aetna Commercial |
$655.50
|
| Rate for Payer: Aetna Medicare Advantage |
$517.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$439.88
|
| Rate for Payer: Cigna Commercial |
$862.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$448.50
|
| Rate for Payer: Oxford Commercial |
$345.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$345.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$54.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48.99
|
|
|
REAMER MODULAR 11.5MM HD Q4IM
|
Facility
|
IP
|
$1,725.00
|
|
| Hospital Charge Code |
270694088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$258.75 |
| Max. Negotiated Rate |
$258.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
|
|
REAMER MODULAR 12.5MM HD Q4IM
|
Facility
|
OP
|
$1,725.00
|
|
| Hospital Charge Code |
270694089
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: Aetna Commercial |
$655.50
|
| Rate for Payer: Aetna Medicare Advantage |
$517.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$439.88
|
| Rate for Payer: Cigna Commercial |
$862.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$448.50
|
| Rate for Payer: Oxford Commercial |
$345.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$345.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$54.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48.99
|
|
|
REAMER MODULAR 12.5MM HD Q4IM
|
Facility
|
IP
|
$1,725.00
|
|
| Hospital Charge Code |
270694089
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$258.75 |
| Max. Negotiated Rate |
$258.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
|
|
REAMER MODULAR 8.0MM HD Q4IM
|
Facility
|
OP
|
$1,725.00
|
|
| Hospital Charge Code |
270694084
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: Aetna Commercial |
$655.50
|
| Rate for Payer: Aetna Medicare Advantage |
$517.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$439.88
|
| Rate for Payer: Cigna Commercial |
$862.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$448.50
|
| Rate for Payer: Oxford Commercial |
$345.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$345.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$54.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48.99
|
|
|
REAMER MODULAR 8.0MM HD Q4IM
|
Facility
|
IP
|
$1,725.00
|
|
| Hospital Charge Code |
270694084
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$258.75 |
| Max. Negotiated Rate |
$258.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
|
|
REAMER MODULAR 8.5MM HD Q4IM
|
Facility
|
IP
|
$1,725.00
|
|
| Hospital Charge Code |
270694083
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$258.75 |
| Max. Negotiated Rate |
$258.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
|
|
REAMER MODULAR 8.5MM HD Q4IM
|
Facility
|
OP
|
$1,725.00
|
|
| Hospital Charge Code |
270694083
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$48.99 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: Aetna Commercial |
$655.50
|
| Rate for Payer: Aetna Medicare Advantage |
$517.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$439.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$439.88
|
| Rate for Payer: Cigna Commercial |
$862.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$448.50
|
| Rate for Payer: Oxford Commercial |
$345.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$258.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$345.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$54.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$48.99
|
|