|
CUTTER STRY AGGRES 2.5MM
|
Facility
|
IP
|
$264.16
|
|
| Hospital Charge Code |
270601425
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$39.62 |
| Max. Negotiated Rate |
$39.62 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.62
|
|
|
CUTTER STRY AGGRES 2.5MM
|
Facility
|
OP
|
$264.16
|
|
| Hospital Charge Code |
270601425
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$132.08 |
| Rate for Payer: Aetna Commercial |
$100.38
|
| Rate for Payer: Aetna Medicare Advantage |
$79.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$67.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$67.36
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$67.36
|
| Rate for Payer: Cigna Commercial |
$132.08
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$68.68
|
| Rate for Payer: Oxford Commercial |
$52.83
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$39.62
|
| Rate for Payer: UnitedHealthcare Commercial |
$52.83
|
| Rate for Payer: UnitedHealthcare Community & State |
$8.35
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.50
|
|
|
CUTTER STRY TOMCAT ANG 4.0MM
|
Facility
|
IP
|
$382.20
|
|
| Hospital Charge Code |
270601419
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$57.33 |
| Max. Negotiated Rate |
$57.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.33
|
|
|
CUTTER STRY TOMCAT ANG 4.0MM
|
Facility
|
OP
|
$382.20
|
|
| Hospital Charge Code |
270601419
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$10.85 |
| Max. Negotiated Rate |
$191.10 |
| Rate for Payer: Aetna Commercial |
$145.24
|
| Rate for Payer: Aetna Medicare Advantage |
$114.66
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$97.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$97.46
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$97.46
|
| Rate for Payer: Cigna Commercial |
$191.10
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$99.37
|
| Rate for Payer: Oxford Commercial |
$76.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$57.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$76.44
|
| Rate for Payer: UnitedHealthcare Community & State |
$12.08
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$10.85
|
|
|
CUTTER TOMCAT 4.0mm
|
Facility
|
IP
|
$200.00
|
|
| Hospital Charge Code |
270657644
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
|
|
CUTTER TOMCAT 4.0mm
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270657644
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$76.00
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.00
|
| Rate for Payer: Cigna Commercial |
$100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.00
|
| Rate for Payer: Oxford Commercial |
$40.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.68
|
|
|
CUTTER TRUE END 4mm
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270601429
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$76.00
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.00
|
| Rate for Payer: Cigna Commercial |
$100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.00
|
| Rate for Payer: Oxford Commercial |
$40.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.68
|
|
|
CUTTER TRUE END 4mm
|
Facility
|
IP
|
$200.00
|
|
| Hospital Charge Code |
270601429
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
|
|
CUTTER TSB35 LINEAR 35
|
Facility
|
IP
|
$2,586.65
|
|
| Hospital Charge Code |
270651944
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$388.00 |
| Max. Negotiated Rate |
$388.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$388.00
|
|
|
CUTTER TSB35 LINEAR 35
|
Facility
|
OP
|
$2,586.65
|
|
| Hospital Charge Code |
270651944
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$73.46 |
| Max. Negotiated Rate |
$1,293.33 |
| Rate for Payer: Aetna Commercial |
$982.93
|
| Rate for Payer: Aetna Medicare Advantage |
$776.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$659.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$659.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$659.60
|
| Rate for Payer: Cigna Commercial |
$1,293.33
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$672.53
|
| Rate for Payer: Oxford Commercial |
$517.33
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$388.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$517.33
|
| Rate for Payer: UnitedHealthcare Community & State |
$81.74
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$73.46
|
|
|
CUTTER TSW35 LINEAR
|
Facility
|
IP
|
$862.22
|
|
| Hospital Charge Code |
270651945
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$129.33 |
| Max. Negotiated Rate |
$129.33 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$129.33
|
|
|
CUTTER TSW35 LINEAR
|
Facility
|
OP
|
$862.22
|
|
| Hospital Charge Code |
270651945
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$24.49 |
| Max. Negotiated Rate |
$431.11 |
| Rate for Payer: Aetna Commercial |
$327.64
|
| Rate for Payer: Aetna Medicare Advantage |
$258.67
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$219.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$219.87
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$219.87
|
| Rate for Payer: Cigna Commercial |
$431.11
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$224.18
|
| Rate for Payer: Oxford Commercial |
$172.44
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$129.33
|
| Rate for Payer: UnitedHealthcare Commercial |
$172.44
|
| Rate for Payer: UnitedHealthcare Community & State |
$27.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$24.49
|
|
|
CUTTER UNIVERSAL ACUITY
|
Facility
|
OP
|
$250.00
|
|
| Hospital Charge Code |
270697066S
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$7.10 |
| Max. Negotiated Rate |
$125.00 |
| Rate for Payer: Aetna Commercial |
$95.00
|
| Rate for Payer: Aetna Medicare Advantage |
$75.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$63.75
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$63.75
|
| Rate for Payer: Cigna Commercial |
$125.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$65.00
|
| Rate for Payer: Oxford Commercial |
$50.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$50.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$7.90
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$7.10
|
|
|
CUTTER UNIVERSAL ACUITY
|
Facility
|
IP
|
$250.00
|
|
| Hospital Charge Code |
270697066S
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$37.50 |
| Max. Negotiated Rate |
$37.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$37.50
|
|
|
CUTTER WHISKER 4.0MM
|
Facility
|
IP
|
$1,465.75
|
|
| Hospital Charge Code |
270658032
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$219.86 |
| Max. Negotiated Rate |
$219.86 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$219.86
|
|
|
CUTTER WHISKER 4.0MM
|
Facility
|
OP
|
$1,465.75
|
|
| Hospital Charge Code |
270658032
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.63 |
| Max. Negotiated Rate |
$732.88 |
| Rate for Payer: Aetna Commercial |
$556.99
|
| Rate for Payer: Aetna Medicare Advantage |
$439.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$373.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$373.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$373.77
|
| Rate for Payer: Cigna Commercial |
$732.88
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$381.10
|
| Rate for Payer: Oxford Commercial |
$293.15
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$219.86
|
| Rate for Payer: UnitedHealthcare Commercial |
$293.15
|
| Rate for Payer: UnitedHealthcare Community & State |
$46.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$41.63
|
|
|
CUTTER WHISKER 4.0MM
|
Facility
|
OP
|
$200.00
|
|
| Hospital Charge Code |
270657595
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$100.00 |
| Rate for Payer: Aetna Commercial |
$76.00
|
| Rate for Payer: Aetna Medicare Advantage |
$60.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$51.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$51.00
|
| Rate for Payer: Cigna Commercial |
$100.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$52.00
|
| Rate for Payer: Oxford Commercial |
$40.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$40.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$6.32
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$5.68
|
|
|
CUTTER WHISKER 4.0MM
|
Facility
|
IP
|
$200.00
|
|
| Hospital Charge Code |
270657595
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$30.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$30.00
|
|
|
CUTTING LOOP 24FR
|
Facility
|
IP
|
$428.80
|
|
| Hospital Charge Code |
270658443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$64.32 |
| Max. Negotiated Rate |
$64.32 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.32
|
|
|
CUTTING LOOP 24FR
|
Facility
|
OP
|
$428.80
|
|
| Hospital Charge Code |
270658443
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$12.18 |
| Max. Negotiated Rate |
$214.40 |
| Rate for Payer: Aetna Commercial |
$162.94
|
| Rate for Payer: Aetna Medicare Advantage |
$128.64
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$109.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$109.34
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$109.34
|
| Rate for Payer: Cigna Commercial |
$214.40
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$111.49
|
| Rate for Payer: Oxford Commercial |
$85.76
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$64.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$85.76
|
| Rate for Payer: UnitedHealthcare Community & State |
$13.55
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$12.18
|
|
|
CUTTING LOOP FOR RESECTOSCOPE
|
Facility
|
IP
|
$626.00
|
|
| Hospital Charge Code |
270332325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$93.90 |
| Max. Negotiated Rate |
$93.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.90
|
|
|
CUTTING LOOP FOR RESECTOSCOPE
|
Facility
|
OP
|
$626.00
|
|
| Hospital Charge Code |
270332325
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$17.78 |
| Max. Negotiated Rate |
$313.00 |
| Rate for Payer: Aetna Commercial |
$237.88
|
| Rate for Payer: Aetna Medicare Advantage |
$187.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$159.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$159.63
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$159.63
|
| Rate for Payer: Cigna Commercial |
$313.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$162.76
|
| Rate for Payer: Oxford Commercial |
$125.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$93.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$125.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$19.78
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$17.78
|
|
|
CUTTING WHEEL
|
Facility
|
IP
|
$351.00
|
|
| Hospital Charge Code |
270335566
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$52.65 |
| Max. Negotiated Rate |
$52.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.65
|
|
|
CUTTING WHEEL
|
Facility
|
OP
|
$351.00
|
|
| Hospital Charge Code |
270335566
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.97 |
| Max. Negotiated Rate |
$175.50 |
| Rate for Payer: Aetna Commercial |
$133.38
|
| Rate for Payer: Aetna Medicare Advantage |
$105.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$89.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$89.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$89.50
|
| Rate for Payer: Cigna Commercial |
$175.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$91.26
|
| Rate for Payer: Oxford Commercial |
$70.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$52.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$70.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$11.09
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.97
|
|
|
CUVETTE CLOTTING TIME TEST
|
Facility
|
OP
|
$18.56
|
|
| Hospital Charge Code |
270632189S
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$0.53 |
| Max. Negotiated Rate |
$9.28 |
| Rate for Payer: Aetna Commercial |
$7.05
|
| Rate for Payer: Aetna Medicare Advantage |
$5.57
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$4.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$4.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$4.73
|
| Rate for Payer: Cigna Commercial |
$9.28
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$4.83
|
| Rate for Payer: Oxford Commercial |
$3.71
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$2.78
|
| Rate for Payer: UnitedHealthcare Commercial |
$3.71
|
| Rate for Payer: UnitedHealthcare Community & State |
$0.59
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$0.53
|
|