|
BIT DRILL CANN QC 12x190MM ST
|
Facility
|
OP
|
$2,447.30
|
|
| Hospital Charge Code |
270646675
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$69.50 |
| Max. Negotiated Rate |
$1,223.65 |
| Rate for Payer: Aetna Commercial |
$929.97
|
| Rate for Payer: Aetna Medicare Advantage |
$734.19
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$624.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$624.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$624.06
|
| Rate for Payer: Cigna Commercial |
$1,223.65
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$636.30
|
| Rate for Payer: Oxford Commercial |
$489.46
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$367.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$489.46
|
| Rate for Payer: UnitedHealthcare Community & State |
$77.33
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$69.50
|
|
|
BIT DRILL CANN QC 12x190MM ST
|
Facility
|
IP
|
$2,447.30
|
|
| Hospital Charge Code |
270646675
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$367.10 |
| Max. Negotiated Rate |
$367.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$367.10
|
|
|
BIT DRILL CANN QC 2.7x160MM ST
|
Facility
|
IP
|
$2,157.85
|
|
| Hospital Charge Code |
270677977
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$323.68 |
| Max. Negotiated Rate |
$323.68 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.68
|
|
|
BIT DRILL CANN QC 2.7x160MM ST
|
Facility
|
OP
|
$2,157.85
|
|
| Hospital Charge Code |
270677977
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$61.28 |
| Max. Negotiated Rate |
$1,078.92 |
| Rate for Payer: Aetna Commercial |
$819.98
|
| Rate for Payer: Aetna Medicare Advantage |
$647.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$550.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$550.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$550.25
|
| Rate for Payer: Cigna Commercial |
$1,078.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$561.04
|
| Rate for Payer: Oxford Commercial |
$431.57
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$323.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$431.57
|
| Rate for Payer: UnitedHealthcare Community & State |
$68.19
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$61.28
|
|
|
BIT DRILL CANN STEPPED 6/9MM
|
Facility
|
OP
|
$7,070.00
|
|
| Hospital Charge Code |
270675954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$200.79 |
| Max. Negotiated Rate |
$3,535.00 |
| Rate for Payer: Aetna Commercial |
$2,686.60
|
| Rate for Payer: Aetna Medicare Advantage |
$2,121.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$1,802.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$1,802.85
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$1,802.85
|
| Rate for Payer: Cigna Commercial |
$3,535.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,838.20
|
| Rate for Payer: Oxford Commercial |
$1,414.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,060.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,414.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$223.41
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$200.79
|
|
|
BIT DRILL CANN STEPPED 6/9MM
|
Facility
|
IP
|
$7,070.00
|
|
| Hospital Charge Code |
270675954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,060.50 |
| Max. Negotiated Rate |
$1,060.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,060.50
|
|
|
BIT DRILL CANNULATED 13.0MM
|
Facility
|
OP
|
$2,716.60
|
|
| Hospital Charge Code |
270688232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$77.15 |
| Max. Negotiated Rate |
$1,358.30 |
| Rate for Payer: Aetna Commercial |
$1,032.31
|
| Rate for Payer: Aetna Medicare Advantage |
$814.98
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$692.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$692.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$692.73
|
| Rate for Payer: Cigna Commercial |
$1,358.30
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$706.32
|
| Rate for Payer: Oxford Commercial |
$543.32
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$407.49
|
| Rate for Payer: UnitedHealthcare Commercial |
$543.32
|
| Rate for Payer: UnitedHealthcare Community & State |
$85.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$77.15
|
|
|
BIT DRILL CANNULATED 13.0MM
|
Facility
|
IP
|
$2,716.60
|
|
| Hospital Charge Code |
270688232
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$407.49 |
| Max. Negotiated Rate |
$407.49 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$407.49
|
|
|
BIT DRILL CANNULATED 4.0MM
|
Facility
|
OP
|
$975.00
|
|
| Hospital Charge Code |
270677564
|
|
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
|
|
|
BIT DRILL CANNULATED 4.0MM
|
Facility
|
IP
|
$975.00
|
|
| Hospital Charge Code |
270677564
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$146.25 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$146.25
|
|
|
BIT DRILL CINCHLOCK FLEX HARD
|
Facility
|
IP
|
$1,275.00
|
|
| Hospital Charge Code |
270685173
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$191.25 |
| Max. Negotiated Rate |
$191.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.25
|
|
|
BIT DRILL CINCHLOCK FLEX HARD
|
Facility
|
OP
|
$1,275.00
|
|
| Hospital Charge Code |
270685173
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$36.21 |
| Max. Negotiated Rate |
$637.50 |
| Rate for Payer: Aetna Commercial |
$484.50
|
| Rate for Payer: Aetna Medicare Advantage |
$382.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$325.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$325.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$325.12
|
| Rate for Payer: Cigna Commercial |
$637.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$331.50
|
| Rate for Payer: Oxford Commercial |
$255.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$191.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$255.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$40.29
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$36.21
|
|
|
BIT DRILL HEMI REAMER 4.5x1.6
|
Facility
|
OP
|
$750.00
|
|
| Hospital Charge Code |
270676446
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$21.30 |
| Max. Negotiated Rate |
$375.00 |
| Rate for Payer: Aetna Commercial |
$285.00
|
| Rate for Payer: Aetna Medicare Advantage |
$225.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$191.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$191.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$191.25
|
| Rate for Payer: Cigna Commercial |
$375.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$195.00
|
| Rate for Payer: Oxford Commercial |
$150.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$150.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21.30
|
|
|
BIT DRILL HEMI REAMER 4.5x1.6
|
Facility
|
IP
|
$750.00
|
|
| Hospital Charge Code |
270676446
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$112.50 |
| Max. Negotiated Rate |
$112.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
|
|
BIT DRILL J-LATCH 1.8x90MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270652056
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILL J-LATCH 1.8x90MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270652056
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.73 |
| Max. Negotiated Rate |
$153.72 |
| Rate for Payer: Aetna Commercial |
$116.83
|
| Rate for Payer: Aetna Medicare Advantage |
$92.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78.40
|
| Rate for Payer: Cigna Commercial |
$153.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.94
|
| Rate for Payer: Oxford Commercial |
$61.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$61.49
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.73
|
|
|
BIT DRILL MINI QC 1.8x80MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270636271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILL MINI QC 1.8x80MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270636271
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.73 |
| Max. Negotiated Rate |
$153.72 |
| Rate for Payer: Aetna Commercial |
$116.83
|
| Rate for Payer: Aetna Medicare Advantage |
$92.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78.40
|
| Rate for Payer: Cigna Commercial |
$153.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.94
|
| Rate for Payer: Oxford Commercial |
$61.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$61.49
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.73
|
|
|
BIT DRILL MINI QC 2.4x80MM
|
Facility
|
IP
|
$307.45
|
|
| Hospital Charge Code |
270636272
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$46.12 |
| Max. Negotiated Rate |
$46.12 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
|
|
BIT DRILL MINI QC 2.4x80MM
|
Facility
|
OP
|
$307.45
|
|
| Hospital Charge Code |
270636272
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.73 |
| Max. Negotiated Rate |
$153.72 |
| Rate for Payer: Aetna Commercial |
$116.83
|
| Rate for Payer: Aetna Medicare Advantage |
$92.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$78.40
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$78.40
|
| Rate for Payer: Cigna Commercial |
$153.72
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$79.94
|
| Rate for Payer: Oxford Commercial |
$61.49
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$46.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$61.49
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.72
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.73
|
|
|
BIT DRILLO.35X4 K WIRE DOUBLE
|
Facility
|
OP
|
$175.00
|
|
| Hospital Charge Code |
270648910
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.97 |
| Max. Negotiated Rate |
$87.50 |
| Rate for Payer: Aetna Commercial |
$66.50
|
| Rate for Payer: Aetna Medicare Advantage |
$52.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$44.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$44.62
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$44.62
|
| Rate for Payer: Cigna Commercial |
$87.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$45.50
|
| Rate for Payer: Oxford Commercial |
$35.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$35.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.53
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.97
|
|
|
BIT DRILLO.35X4 K WIRE DOUBLE
|
Facility
|
IP
|
$175.00
|
|
| Hospital Charge Code |
270648910
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$26.25 |
| Max. Negotiated Rate |
$26.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$26.25
|
|
|
BIT DRILL QC 195mm
|
Facility
|
OP
|
$489.00
|
|
| Hospital Charge Code |
270663424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$13.89 |
| Max. Negotiated Rate |
$244.50 |
| Rate for Payer: Aetna Commercial |
$185.82
|
| Rate for Payer: Aetna Medicare Advantage |
$146.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$124.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$124.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$124.69
|
| Rate for Payer: Cigna Commercial |
$244.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$127.14
|
| Rate for Payer: Oxford Commercial |
$97.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$97.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.45
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$13.89
|
|
|
BIT DRILL QC 195mm
|
Facility
|
IP
|
$489.00
|
|
| Hospital Charge Code |
270663424
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.35 |
| Max. Negotiated Rate |
$73.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$73.35
|
|
|
BIT DRILL QC 3.2 X 180MM
|
Facility
|
IP
|
$705.00
|
|
| Hospital Charge Code |
270665861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$105.75 |
| Max. Negotiated Rate |
$105.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$105.75
|
|