|
SAW 105 DEG 12x11.5x0.4MM/70MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674677
|
|
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
|
|
|
SAW 105 DEG 12x4.5x0.4MM/70MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674679
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
SAW 105 DEG 12x4.5x0.4MM/70MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674679
|
|
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
|
|
|
SAW 105 DEG 12x9.5x0.4MM/70MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674678
|
|
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
|
|
|
SAW 105 DEG 12x9.5x0.4MM/70MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674678
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
SAW 105 DEG 7x12x0.4MM/70MM
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674676
|
|
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
|
|
|
SAW 105 DEG 7x12x0.4MM/70MM
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674676
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
SAW 20x6.4/2.9x0.6MM TRAP LONG
|
Facility
|
IP
|
$413.00
|
|
| Hospital Charge Code |
270674670
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.95 |
| Max. Negotiated Rate |
$61.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.95
|
|
|
SAW 20x6.4/2.9x0.6MM TRAP LONG
|
Facility
|
OP
|
$413.00
|
|
| Hospital Charge Code |
270674670
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.73 |
| Max. Negotiated Rate |
$206.50 |
| Rate for Payer: Aetna Commercial |
$156.94
|
| Rate for Payer: Aetna Medicare Advantage |
$123.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$105.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$105.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$105.31
|
| Rate for Payer: Cigna Commercial |
$206.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.38
|
| Rate for Payer: Oxford Commercial |
$82.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$82.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.73
|
|
|
SAW 27x6.4/2.9x0.6MM TRAP LONG
|
Facility
|
IP
|
$413.00
|
|
| Hospital Charge Code |
270674671
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.95 |
| Max. Negotiated Rate |
$61.95 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.95
|
|
|
SAW 27x6.4/2.9x0.6MM TRAP LONG
|
Facility
|
OP
|
$413.00
|
|
| Hospital Charge Code |
270674671
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.73 |
| Max. Negotiated Rate |
$206.50 |
| Rate for Payer: Aetna Commercial |
$156.94
|
| Rate for Payer: Aetna Medicare Advantage |
$123.90
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$105.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$105.31
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$105.31
|
| Rate for Payer: Cigna Commercial |
$206.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$107.38
|
| Rate for Payer: Oxford Commercial |
$82.60
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$61.95
|
| Rate for Payer: UnitedHealthcare Commercial |
$82.60
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$11.73
|
|
|
SAW 33.5x6.4x0.6MM OFFSET DOWN
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674667
|
|
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
|
|
|
SAW 33.5x6.4x0.6MM OFFSET DOWN
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674667
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
SAW 33.5x6.4x0.6MM OFFSET LEFT
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674669
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
SAW 33.5x6.4x0.6MM OFFSET LEFT
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674669
|
|
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
|
|
|
SAW 33.5x6.4x0.6MM OFFSET RT
|
Facility
|
IP
|
$430.50
|
|
| Hospital Charge Code |
270674668
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.58 |
| Max. Negotiated Rate |
$64.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.58
|
|
|
SAW 33.5x6.4x0.6MM OFFSET RT
|
Facility
|
OP
|
$430.50
|
|
| Hospital Charge Code |
270674668
|
|
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
|
|
|
SAW BLADE 10x10x0.4MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674810
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|
|
SAW BLADE 10x10x0.4MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674810
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.05 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$121.03
|
| Rate for Payer: Aetna Medicare Advantage |
$95.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.22
|
| Rate for Payer: Cigna Commercial |
$159.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.81
|
| Rate for Payer: Oxford Commercial |
$63.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.05
|
|
|
SAW BLADE 10x10x0.4MM CUT STR
|
Facility
|
OP
|
$332.50
|
|
| Hospital Charge Code |
270674811
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.44 |
| Max. Negotiated Rate |
$166.25 |
| Rate for Payer: Aetna Commercial |
$126.35
|
| Rate for Payer: Aetna Medicare Advantage |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$84.79
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$84.79
|
| Rate for Payer: Cigna Commercial |
$166.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$86.45
|
| Rate for Payer: Oxford Commercial |
$66.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.44
|
|
|
SAW BLADE 10x10x0.4MM CUT STR
|
Facility
|
IP
|
$332.50
|
|
| Hospital Charge Code |
270674811
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.88 |
| Max. Negotiated Rate |
$49.88 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.88
|
|
|
SAW BLADE 10x25x0.6MM CUT
|
Facility
|
IP
|
$318.50
|
|
| Hospital Charge Code |
270674825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.77 |
| Max. Negotiated Rate |
$47.77 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
|
|
SAW BLADE 10x25x0.6MM CUT
|
Facility
|
IP
|
$290.50
|
|
| Hospital Charge Code |
270674787
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$43.58 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
|
|
SAW BLADE 10x25x0.6MM CUT
|
Facility
|
OP
|
$290.50
|
|
| Hospital Charge Code |
270674787
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.25 |
| Max. Negotiated Rate |
$145.25 |
| Rate for Payer: Aetna Commercial |
$110.39
|
| Rate for Payer: Aetna Medicare Advantage |
$87.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$74.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$74.08
|
| Rate for Payer: Cigna Commercial |
$145.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$75.53
|
| Rate for Payer: Oxford Commercial |
$58.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$43.58
|
| Rate for Payer: UnitedHealthcare Commercial |
$58.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.18
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.25
|
|
|
SAW BLADE 10x25x0.6MM CUT
|
Facility
|
OP
|
$318.50
|
|
| Hospital Charge Code |
270674825
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.05 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$121.03
|
| Rate for Payer: Aetna Medicare Advantage |
$95.55
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$81.22
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$81.22
|
| Rate for Payer: Cigna Commercial |
$159.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.81
|
| Rate for Payer: Oxford Commercial |
$63.70
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.77
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.70
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.05
|
|