|
BLADE ROUND SOLID BUR 1.5MM
|
Facility
|
IP
|
$115.35
|
|
| Hospital Charge Code |
270691108
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.30 |
| Max. Negotiated Rate |
$17.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$17.30
|
|
|
BLADE S9 FLAT 10MMX5CM
|
Facility
|
IP
|
$850.00
|
|
| Hospital Charge Code |
270696316
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$127.50 |
| Max. Negotiated Rate |
$127.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
|
|
BLADE S9 FLAT 10MMX5CM
|
Facility
|
OP
|
$850.00
|
|
| Hospital Charge Code |
270696316
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.14 |
| Max. Negotiated Rate |
$425.00 |
| Rate for Payer: Aetna Commercial |
$323.00
|
| Rate for Payer: Aetna Medicare Advantage |
$255.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$216.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$216.75
|
| Rate for Payer: Cigna Commercial |
$425.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$221.00
|
| Rate for Payer: Oxford Commercial |
$170.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$127.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$170.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.86
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$24.14
|
|
|
BLADES AGITALSAW STRAIGHT
|
Facility
|
IP
|
$69.85
|
|
| Hospital Charge Code |
270657621
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.48 |
| Max. Negotiated Rate |
$10.48 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.48
|
|
|
BLADES AGITALSAW STRAIGHT
|
Facility
|
OP
|
$69.85
|
|
| Hospital Charge Code |
270657621
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.98 |
| Max. Negotiated Rate |
$34.92 |
| Rate for Payer: Aetna Commercial |
$26.54
|
| Rate for Payer: Aetna Medicare Advantage |
$20.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$17.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$17.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$17.81
|
| Rate for Payer: Cigna Commercial |
$34.92
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$18.16
|
| Rate for Payer: Oxford Commercial |
$13.97
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$10.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$13.97
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$1.98
|
|
|
BLADE SAGITTAL 13X90X1.19MM
|
Facility
|
OP
|
$316.10
|
|
| Hospital Charge Code |
270687598
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$158.05 |
| Rate for Payer: Aetna Commercial |
$120.12
|
| Rate for Payer: Aetna Medicare Advantage |
$94.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$80.61
|
| Rate for Payer: Cigna Commercial |
$158.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.19
|
| Rate for Payer: Oxford Commercial |
$63.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.22
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.98
|
|
|
BLADE SAGITTAL 13X90X1.19MM
|
Facility
|
IP
|
$316.10
|
|
| Hospital Charge Code |
270687598
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.41 |
| Max. Negotiated Rate |
$47.41 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
|
|
BLADE SAGITTAL 13X90X1.27MM
|
Facility
|
IP
|
$300.25
|
|
| Hospital Charge Code |
270687191
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.04 |
| Max. Negotiated Rate |
$45.04 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
|
|
BLADE SAGITTAL 13X90X1.27MM
|
Facility
|
OP
|
$300.25
|
|
| Hospital Charge Code |
270687191
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.53 |
| Max. Negotiated Rate |
$150.12 |
| Rate for Payer: Aetna Commercial |
$114.09
|
| Rate for Payer: Aetna Medicare Advantage |
$90.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.56
|
| Rate for Payer: Cigna Commercial |
$150.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$78.06
|
| Rate for Payer: Oxford Commercial |
$60.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$60.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.49
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.53
|
|
|
BLADE SAGITTAL 18X90X1.19
|
Facility
|
OP
|
$316.10
|
|
| Hospital Charge Code |
270695106
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.98 |
| Max. Negotiated Rate |
$158.05 |
| Rate for Payer: Aetna Commercial |
$120.12
|
| Rate for Payer: Aetna Medicare Advantage |
$94.83
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$80.61
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$80.61
|
| Rate for Payer: Cigna Commercial |
$158.05
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$82.19
|
| Rate for Payer: Oxford Commercial |
$63.22
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$63.22
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.99
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.98
|
|
|
BLADE SAGITTAL 18X90X1.19
|
Facility
|
IP
|
$316.10
|
|
| Hospital Charge Code |
270695106
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$47.41 |
| Max. Negotiated Rate |
$47.41 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$47.41
|
|
|
BLADE SAGITTAL 25X90X0.97MM
|
Facility
|
OP
|
$135.00
|
|
| Hospital Charge Code |
270698401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.83 |
| Max. Negotiated Rate |
$67.50 |
| Rate for Payer: Aetna Commercial |
$51.30
|
| Rate for Payer: Aetna Medicare Advantage |
$40.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$34.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$34.42
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$34.42
|
| Rate for Payer: Cigna Commercial |
$67.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$35.10
|
| Rate for Payer: Oxford Commercial |
$27.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$27.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.83
|
|
|
BLADE SAGITTAL 25X90X0.97MM
|
Facility
|
IP
|
$135.00
|
|
| Hospital Charge Code |
270698401
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.25 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$20.25
|
|
|
BLADE SAGITTAL SAW 25x90x1.27
|
Facility
|
IP
|
$126.75
|
|
| Hospital Charge Code |
270677909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$19.01 |
| Max. Negotiated Rate |
$19.01 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.01
|
|
|
BLADE SAGITTAL SAW 25x90x1.27
|
Facility
|
OP
|
$126.75
|
|
| Hospital Charge Code |
270677909
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.60 |
| Max. Negotiated Rate |
$63.38 |
| Rate for Payer: Aetna Commercial |
$48.16
|
| Rate for Payer: Aetna Medicare Advantage |
$38.02
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$32.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$32.32
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$32.32
|
| Rate for Payer: Cigna Commercial |
$63.38
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$32.95
|
| Rate for Payer: Oxford Commercial |
$25.35
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$19.01
|
| Rate for Payer: UnitedHealthcare Commercial |
$25.35
|
| Rate for Payer: UnitedHealthcare Community & State |
$4.01
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$3.60
|
|
|
BLADE SAGITTAL SAW 90X12.5
|
Facility
|
OP
|
$300.25
|
|
| Hospital Charge Code |
270687038
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.53 |
| Max. Negotiated Rate |
$150.12 |
| Rate for Payer: Aetna Commercial |
$114.09
|
| Rate for Payer: Aetna Medicare Advantage |
$90.08
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$76.56
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$76.56
|
| Rate for Payer: Cigna Commercial |
$150.12
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$78.06
|
| Rate for Payer: Oxford Commercial |
$60.05
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$60.05
|
| Rate for Payer: UnitedHealthcare Community & State |
$9.49
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$8.53
|
|
|
BLADE SAGITTAL SAW 90X12.5
|
Facility
|
IP
|
$300.25
|
|
| Hospital Charge Code |
270687038
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.04 |
| Max. Negotiated Rate |
$45.04 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$45.04
|
|
|
BLADE SAGITTAL SAW MICRO
|
Facility
|
IP
|
$275.00
|
|
| Hospital Charge Code |
270658460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
BLADE SAGITTAL SAW MICRO
|
Facility
|
OP
|
$275.00
|
|
| Hospital Charge Code |
270658460
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.81 |
| Max. Negotiated Rate |
$137.50 |
| Rate for Payer: Aetna Commercial |
$104.50
|
| Rate for Payer: Aetna Medicare Advantage |
$82.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$70.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$70.12
|
| Rate for Payer: Cigna Commercial |
$137.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$71.50
|
| Rate for Payer: Oxford Commercial |
$55.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$55.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.69
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.81
|
|
|
BLADE SAGITTL SAW 1.27x25x90MM
|
Facility
|
IP
|
$220.50
|
|
| Hospital Charge Code |
270677874
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.08 |
| Max. Negotiated Rate |
$33.08 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.08
|
|
|
BLADE SAGITTL SAW 1.27x25x90MM
|
Facility
|
OP
|
$220.50
|
|
| Hospital Charge Code |
270677874
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.26 |
| Max. Negotiated Rate |
$110.25 |
| Rate for Payer: Aetna Commercial |
$83.79
|
| Rate for Payer: Aetna Medicare Advantage |
$66.15
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$56.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$56.23
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$56.23
|
| Rate for Payer: Cigna Commercial |
$110.25
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$57.33
|
| Rate for Payer: Oxford Commercial |
$44.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$44.10
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.97
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.26
|
|
|
BLADE SAG OSCILL 40MM
|
Facility
|
OP
|
$725.00
|
|
| Hospital Charge Code |
270695415
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$20.59 |
| Max. Negotiated Rate |
$362.50 |
| Rate for Payer: Aetna Commercial |
$275.50
|
| Rate for Payer: Aetna Medicare Advantage |
$217.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$184.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$184.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$184.88
|
| Rate for Payer: Cigna Commercial |
$362.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$188.50
|
| Rate for Payer: Oxford Commercial |
$145.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$108.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$145.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$22.91
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$20.59
|
|
|
BLADE SAG OSCILL 40MM
|
Facility
|
IP
|
$725.00
|
|
| Hospital Charge Code |
270695415
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$108.75 |
| Max. Negotiated Rate |
$108.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$108.75
|
|
|
BLADE SAMUEL
|
Facility
|
OP
|
$1,212.00
|
|
| Hospital Charge Code |
270673920
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$34.42 |
| Max. Negotiated Rate |
$606.00 |
| Rate for Payer: Aetna Commercial |
$460.56
|
| Rate for Payer: Aetna Medicare Advantage |
$363.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$309.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$309.06
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$309.06
|
| Rate for Payer: Cigna Commercial |
$606.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$315.12
|
| Rate for Payer: Oxford Commercial |
$242.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$181.80
|
| Rate for Payer: UnitedHealthcare Commercial |
$242.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$38.30
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$34.42
|
|
|
BLADE SAMUEL
|
Facility
|
IP
|
$1,212.00
|
|
| Hospital Charge Code |
270673920
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$181.80 |
| Max. Negotiated Rate |
$181.80 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$181.80
|
|