|
VACURETTE CRVD TIP 9mm
|
Facility
|
OP
|
$6.15
|
|
| Hospital Charge Code |
270649250
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.17 |
| Max. Negotiated Rate |
$3.08 |
| Rate for Payer: Aetna Commercial |
$2.34
|
| Rate for Payer: Aetna Medicare Advantage |
$1.84
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1.57
|
| Rate for Payer: Cigna Commercial |
$3.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1.60
|
| Rate for Payer: Oxford Commercial |
$1.23
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$0.92
|
| Rate for Payer: UnitedHealthcare Commercial |
$1.23
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.17
|
|
|
VACURETTE CURVED TIP 5FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270330814
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.10
|
| Rate for Payer: Oxford Commercial |
$7.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.99
|
|
|
VACURETTE CURVED TIP 5FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270330814
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE FLEX TIP 5mm
|
Facility
|
IP
|
$24.50
|
|
| Hospital Charge Code |
270649252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.67 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
|
|
VACURETTE FLEX TIP 5mm
|
Facility
|
OP
|
$24.50
|
|
| Hospital Charge Code |
270649252
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.70 |
| Max. Negotiated Rate |
$12.25 |
| Rate for Payer: Aetna Commercial |
$9.31
|
| Rate for Payer: Aetna Medicare Advantage |
$7.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$6.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$6.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$6.25
|
| Rate for Payer: Cigna Commercial |
$12.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.37
|
| Rate for Payer: Oxford Commercial |
$4.90
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.67
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.90
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.77
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.70
|
|
|
VACURETTE FLEX TIP 6MM
|
Facility
|
OP
|
$23.08
|
|
| Hospital Charge Code |
270649254
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.66 |
| Max. Negotiated Rate |
$11.54 |
| Rate for Payer: Aetna Commercial |
$8.77
|
| Rate for Payer: Aetna Medicare Advantage |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.89
|
| Rate for Payer: Cigna Commercial |
$11.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.00
|
| Rate for Payer: Oxford Commercial |
$4.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.62
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.73
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.66
|
|
|
VACURETTE FLEX TIP 6MM
|
Facility
|
IP
|
$23.08
|
|
| Hospital Charge Code |
270649254
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
|
|
VACURETTE FLEX TIP 7mm
|
Facility
|
IP
|
$23.08
|
|
| Hospital Charge Code |
270649251
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.46 |
| Max. Negotiated Rate |
$3.46 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
|
|
VACURETTE FLEX TIP 7mm
|
Facility
|
OP
|
$23.08
|
|
| Hospital Charge Code |
270649251
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.66 |
| Max. Negotiated Rate |
$11.54 |
| Rate for Payer: Aetna Commercial |
$8.77
|
| Rate for Payer: Aetna Medicare Advantage |
$6.92
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$5.89
|
| Rate for Payer: Cigna Commercial |
$11.54
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$6.00
|
| Rate for Payer: Oxford Commercial |
$4.62
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$3.46
|
| Rate for Payer: UnitedHealthcare Commercial |
$4.62
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.73
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.66
|
|
|
VACURETTE F TIP 6FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.10
|
| Rate for Payer: Oxford Commercial |
$7.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.99
|
|
|
VACURETTE F TIP 6FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE F TIP 7FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACURETTE F TIP 7FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331556
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.10
|
| Rate for Payer: Oxford Commercial |
$7.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.99
|
|
|
VACURETTE F TIP 8FR
|
Facility
|
OP
|
$35.00
|
|
| Hospital Charge Code |
270331557
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.99 |
| Max. Negotiated Rate |
$17.50 |
| Rate for Payer: Aetna Commercial |
$13.30
|
| Rate for Payer: Aetna Medicare Advantage |
$10.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$8.93
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$8.93
|
| Rate for Payer: Cigna Commercial |
$17.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$9.10
|
| Rate for Payer: Oxford Commercial |
$7.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$7.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$1.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.99
|
|
|
VACURETTE F TIP 8FR
|
Facility
|
IP
|
$35.00
|
|
| Hospital Charge Code |
270331557
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.25 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$5.25
|
|
|
VACUTAINER 100X16MM BLOOD COL
|
Facility
|
OP
|
$66.00
|
|
| Hospital Charge Code |
270331465
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.87 |
| Max. Negotiated Rate |
$33.00 |
| Rate for Payer: Aetna Commercial |
$25.08
|
| Rate for Payer: Aetna Medicare Advantage |
$19.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$16.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$16.83
|
| Rate for Payer: Cigna Commercial |
$33.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$17.16
|
| Rate for Payer: Oxford Commercial |
$13.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.87
|
|
|
VACUTAINER 100X16MM BLOOD COL
|
Facility
|
IP
|
$66.00
|
|
| Hospital Charge Code |
270331465
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$9.90
|
|
|
VACUUM BARRON TREPHINE 7.0MM
|
Facility
|
IP
|
$370.00
|
|
| Hospital Charge Code |
270642607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$55.50 |
| Max. Negotiated Rate |
$55.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
|
|
VACUUM BARRON TREPHINE 7.0MM
|
Facility
|
OP
|
$370.00
|
|
| Hospital Charge Code |
270642607
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.51 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Aetna Commercial |
$140.60
|
| Rate for Payer: Aetna Medicare Advantage |
$111.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.35
|
| Rate for Payer: Cigna Commercial |
$185.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$96.20
|
| Rate for Payer: Oxford Commercial |
$74.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$74.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.51
|
|
|
VACUUM BARRON TREPHINE 8.25MM
|
Facility
|
OP
|
$445.00
|
|
| Hospital Charge Code |
270669687
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.64 |
| Max. Negotiated Rate |
$222.50 |
| Rate for Payer: Aetna Commercial |
$169.10
|
| Rate for Payer: Aetna Medicare Advantage |
$133.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$113.47
|
| Rate for Payer: Cigna Commercial |
$222.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$115.70
|
| Rate for Payer: Oxford Commercial |
$89.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$89.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.64
|
|
|
VACUUM BARRON TREPHINE 8.25MM
|
Facility
|
IP
|
$445.00
|
|
| Hospital Charge Code |
270669687
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
|
|
VACUUM BARRON TREPHINE 8.5MM
|
Facility
|
OP
|
$370.00
|
|
| Hospital Charge Code |
270600213
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.51 |
| Max. Negotiated Rate |
$185.00 |
| Rate for Payer: Aetna Commercial |
$140.60
|
| Rate for Payer: Aetna Medicare Advantage |
$111.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$94.35
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$94.35
|
| Rate for Payer: Cigna Commercial |
$185.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$96.20
|
| Rate for Payer: Oxford Commercial |
$74.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$74.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.51
|
|
|
VACUUM BARRON TREPHINE 8.5MM
|
Facility
|
IP
|
$370.00
|
|
| Hospital Charge Code |
270600213
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$55.50 |
| Max. Negotiated Rate |
$55.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$55.50
|
|
|
VACUUM BARRON TREPHINE 9.0MM
|
Facility
|
IP
|
$445.00
|
|
| Hospital Charge Code |
270669686
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$66.75 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
|
|
VACUUM BARRON TREPHINE 9.0MM
|
Facility
|
OP
|
$445.00
|
|
| Hospital Charge Code |
270669686
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.64 |
| Max. Negotiated Rate |
$222.50 |
| Rate for Payer: Aetna Commercial |
$169.10
|
| Rate for Payer: Aetna Medicare Advantage |
$133.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$113.47
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$113.47
|
| Rate for Payer: Cigna Commercial |
$222.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$115.70
|
| Rate for Payer: Oxford Commercial |
$89.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$66.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$89.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$14.06
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.64
|
|