|
CATH NAVIEN DSC ST LP 5F 105CM
|
Facility
|
IP
|
$6,750.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270695993S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,012.50 |
| Max. Negotiated Rate |
$1,633.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,350.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,633.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,012.50
|
|
|
CATH NEURON 6F 125SIMV
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270685232S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$17.75 |
| Max. Negotiated Rate |
$312.50 |
| Rate for Payer: Aetna Commercial |
$237.50
|
| Rate for Payer: Aetna Medicare Advantage |
$187.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.38
|
| Rate for Payer: Cigna Commercial |
$312.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.75
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.75
|
|
|
CATH NEURON 6F 125SIMV
|
Facility
|
IP
|
$625.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270685232S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$93.75 |
| Max. Negotiated Rate |
$151.25 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$151.25
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.75
|
|
|
CATH OCCLUS TRANSFORM C 4X10MM
|
Facility
|
OP
|
$7,876.00
|
|
|
Service Code
|
HCPCS C2628
|
| Hospital Charge Code |
270699938S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$223.68 |
| Max. Negotiated Rate |
$3,938.00 |
| Rate for Payer: Aetna Commercial |
$2,992.88
|
| Rate for Payer: Aetna Medicare Advantage |
$2,362.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$2,008.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$2,008.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,575.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$2,008.38
|
| Rate for Payer: Cigna Commercial |
$3,938.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,905.99
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,181.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$248.88
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$223.68
|
|
|
CATH OCCLUS TRANSFORM C 4X10MM
|
Facility
|
IP
|
$7,876.00
|
|
|
Service Code
|
HCPCS C2628
|
| Hospital Charge Code |
270699938S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,181.40 |
| Max. Negotiated Rate |
$1,905.99 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$1,575.20
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$1,905.99
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,181.40
|
|
|
CATH OCELOT MVRX 6FR 110CM
|
Facility
|
OP
|
$12,475.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270675458
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$354.29 |
| Max. Negotiated Rate |
$6,237.50 |
| Rate for Payer: Aetna Commercial |
$4,740.50
|
| Rate for Payer: Aetna Medicare Advantage |
$3,742.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,181.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,181.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,495.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,181.12
|
| Rate for Payer: Cigna Commercial |
$6,237.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,018.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,871.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$394.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$354.29
|
|
|
CATH OCELOT MVRX 6FR 110CM
|
Facility
|
IP
|
$12,475.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270675458N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,871.25 |
| Max. Negotiated Rate |
$3,018.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,495.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,018.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,871.25
|
|
|
CATH OCELOT MVRX 6FR 110CM
|
Facility
|
IP
|
$12,475.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270675458
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,871.25 |
| Max. Negotiated Rate |
$3,018.95 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,495.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,018.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,871.25
|
|
|
CATH OCELOT MVRX 6FR 110CM
|
Facility
|
OP
|
$12,475.00
|
|
|
Service Code
|
HCPCS C1725
|
| Hospital Charge Code |
270675458N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$354.29 |
| Max. Negotiated Rate |
$6,237.50 |
| Rate for Payer: Aetna Commercial |
$4,740.50
|
| Rate for Payer: Aetna Medicare Advantage |
$3,742.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$3,181.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$3,181.12
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$2,495.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$3,181.12
|
| Rate for Payer: Cigna Commercial |
$6,237.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$3,018.95
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$1,871.25
|
| Rate for Payer: UnitedHealthcare Community & State |
$394.21
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$354.29
|
|
|
CATH OMNIFLUSH 5F 90c 10732202
|
Facility
|
OP
|
$90.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270624375
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$45.00 |
| Rate for Payer: Aetna Commercial |
$34.20
|
| Rate for Payer: Aetna Medicare Advantage |
$27.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$22.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$22.95
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$22.95
|
| Rate for Payer: Cigna Commercial |
$45.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.78
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$2.84
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$2.56
|
|
|
CATH OMNIFLUSH 5F 90c 10732202
|
Facility
|
IP
|
$90.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270624375
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$13.50 |
| Max. Negotiated Rate |
$21.78 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$18.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$21.78
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$13.50
|
|
|
CATH OMNI-FLUSH 5FR 70cm .035
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$112.50 |
| Max. Negotiated Rate |
$181.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$150.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$181.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
|
|
CATH OMNI-FLUSH 5FR 70cm .035
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241
|
|
Hospital Revenue Code
|
278
|
| 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) NJ Health |
$150.00
|
| 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 |
$181.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21.30
|
|
|
CATH OMNI-FLUSH 5FR 70cm .035
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241S
|
|
Hospital Revenue Code
|
278
|
| 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) NJ Health |
$150.00
|
| 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 |
$181.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21.30
|
|
|
CATH OMNI-FLUSH 5FR 70cm .035
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241S
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$112.50 |
| Max. Negotiated Rate |
$181.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$150.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$181.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
|
|
CATH OMNI-FLUSH 5FR 70CM .035
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241C
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$112.50 |
| Max. Negotiated Rate |
$181.50 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$150.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$181.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
|
|
CATH OMNI-FLUSH 5FR 70CM .035
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$15.62 |
| Max. Negotiated Rate |
$275.00 |
| Rate for Payer: Aetna Commercial |
$209.00
|
| Rate for Payer: Aetna Medicare Advantage |
$165.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$140.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$110.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$140.25
|
| Rate for Payer: Cigna Commercial |
$275.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$133.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$17.38
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$15.62
|
|
|
CATH OMNI-FLUSH 5FR 70CM .035
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241C
|
|
Hospital Revenue Code
|
278
|
| 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) NJ Health |
$150.00
|
| 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 |
$181.50
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$112.50
|
| Rate for Payer: UnitedHealthcare Community & State |
$23.70
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$21.30
|
|
|
CATH OMNI-FLUSH 5FR 70CM .035
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
HCPCS C1887
|
| Hospital Charge Code |
270637241N
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$133.10 |
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health |
$110.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$133.10
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$82.50
|
|
|
CATH OP JAK RAD 3 5 5FR 405021
|
Facility
|
IP
|
$275.00
|
|
| Hospital Charge Code |
270643742N
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
CATH OP JAK RAD 3 5 5FR 405021
|
Facility
|
OP
|
$275.00
|
|
| Hospital Charge Code |
270643742N
|
|
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
|
|
|
CATH OP JAK RAD 3 5 5FR 405021
|
Facility
|
IP
|
$225.00
|
|
| Hospital Charge Code |
270643742
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$33.75 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
|
|
CATH OP JAK RAD 3 5 5FR 405021
|
Facility
|
OP
|
$225.00
|
|
| Hospital Charge Code |
270643742
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.39 |
| Max. Negotiated Rate |
$112.50 |
| Rate for Payer: Aetna Commercial |
$85.50
|
| Rate for Payer: Aetna Medicare Advantage |
$67.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$57.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$57.38
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$57.38
|
| Rate for Payer: Cigna Commercial |
$112.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$58.50
|
| Rate for Payer: Oxford Commercial |
$45.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$33.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.11
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$6.39
|
|
|
CATH OP JAK RAD 3 5 5FR 405021
|
Facility
|
IP
|
$275.00
|
|
| Hospital Charge Code |
270643742S
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.25 |
| Max. Negotiated Rate |
$41.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$41.25
|
|
|
CATH OP JAK RAD 3 5 5FR 405021
|
Facility
|
OP
|
$275.00
|
|
| Hospital Charge Code |
270643742S
|
|
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
|
|
