St. Barnabas Hospital

All Charges

Charge

Type

Price

SCREW LOCKING 2.0 12MM

Facility OP

$195.55

Service Code	HCPCS C1713
Hospital Charge Code	64903207
Hospital Revenue Code	278
Min. Negotiated Rate	$68.44
Max. Negotiated Rate	$205.33
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.55
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.78
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.44
Rate for Payer: Fidelis Medicare Advantage	$205.33
Rate for Payer: Group Health Inc Commercial	$97.78
Rate for Payer: Group Health Inc Medicare	$68.44
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.78
Rate for Payer: Hamaspik Choice Inc Medicare	$97.78
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.11

SCREW LOCKING 2.0 6MM

Facility OP

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64903204
Hospital Revenue Code	278
Min. Negotiated Rate	$68.42
Max. Negotiated Rate	$205.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$107.51
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$97.74
Rate for Payer: Cigna LocalPlus Benefit Plan	$112.40
Rate for Payer: Fidelis Medicare Advantage	$205.25
Rate for Payer: Group Health Inc Commercial	$97.74
Rate for Payer: Group Health Inc Medicare	$68.42
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$127.06

SCREW LOCKING 2.0 6MM

Facility IP

$195.48

Service Code	HCPCS C1713
Hospital Charge Code	64903204
Hospital Revenue Code	278
Min. Negotiated Rate	$97.74
Max. Negotiated Rate	$97.74
Rate for Payer: Hamaspik Choice Inc Medicaid	$97.74
Rate for Payer: Hamaspik Choice Inc Medicare	$97.74

SCREW LOCKING 2.0 X 4MM

Facility IP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901368
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$53.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55

SCREW LOCKING 2.0 X 4MM

Facility OP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901368
Hospital Revenue Code	278
Min. Negotiated Rate	$37.48
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.58
Rate for Payer: Fidelis Medicare Advantage	$112.46
Rate for Payer: Group Health Inc Commercial	$53.55
Rate for Payer: Group Health Inc Medicare	$37.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.62

SCREW LOCKING 2.0 X 5MM

Facility OP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901396
Hospital Revenue Code	278
Min. Negotiated Rate	$37.48
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.58
Rate for Payer: Fidelis Medicare Advantage	$112.46
Rate for Payer: Group Health Inc Commercial	$53.55
Rate for Payer: Group Health Inc Medicare	$37.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.62

SCREW LOCKING 2.0 X 5MM

Facility IP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901396
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$53.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55

SCREW LOCKING 2.0 X 6MM

Facility IP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901387
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$53.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55

SCREW LOCKING 2.0 X 6MM

Facility OP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901387
Hospital Revenue Code	278
Min. Negotiated Rate	$37.48
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.58
Rate for Payer: Fidelis Medicare Advantage	$112.46
Rate for Payer: Group Health Inc Commercial	$53.55
Rate for Payer: Group Health Inc Medicare	$37.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.62

SCREW LOCKING 2.0 X 8MM

Facility IP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901397
Hospital Revenue Code	278
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$53.55
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55

SCREW LOCKING 2.0 X 8MM

Facility OP

$107.10

Service Code	HCPCS C1713
Hospital Charge Code	64901397
Hospital Revenue Code	278
Min. Negotiated Rate	$37.48
Max. Negotiated Rate	$134.20
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$58.90
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$53.55
Rate for Payer: Cigna LocalPlus Benefit Plan	$61.58
Rate for Payer: Fidelis Medicare Advantage	$112.46
Rate for Payer: Group Health Inc Commercial	$53.55
Rate for Payer: Group Health Inc Medicare	$37.48
Rate for Payer: Hamaspik Choice Inc Medicaid	$53.55
Rate for Payer: Hamaspik Choice Inc Medicare	$53.55
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$69.62

SCREW LOCKING 2.3MM X 9MM

Facility OP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64904977
Hospital Revenue Code	278
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$257.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$140.88
Rate for Payer: Fidelis Medicare Advantage	$257.25
Rate for Payer: Group Health Inc Commercial	$122.50
Rate for Payer: Group Health Inc Medicare	$85.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$159.25

SCREW LOCKING 2.3MM X 9MM

Facility IP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64904977
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50

SCREW LOCKING 2.3X10MM CROSSPIN

Facility OP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902753
Hospital Revenue Code	278
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$257.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$140.88
Rate for Payer: Fidelis Medicare Advantage	$257.25
Rate for Payer: Group Health Inc Commercial	$122.50
Rate for Payer: Group Health Inc Medicare	$85.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$159.25

SCREW LOCKING 2.3X10MM CROSSPIN

Facility IP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902753
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50

SCREW LOCKING 2.3 X 11MM

Facility IP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64902828
Hospital Revenue Code	278
Min. Negotiated Rate	$89.38
Max. Negotiated Rate	$89.38
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38

SCREW LOCKING 2.3 X 11MM

Facility OP

$178.75

Service Code	HCPCS C1713
Hospital Charge Code	64902828
Hospital Revenue Code	278
Min. Negotiated Rate	$62.56
Max. Negotiated Rate	$187.69
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$98.31
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$89.38
Rate for Payer: Cigna LocalPlus Benefit Plan	$102.78
Rate for Payer: Fidelis Medicare Advantage	$187.69
Rate for Payer: Group Health Inc Commercial	$89.38
Rate for Payer: Group Health Inc Medicare	$62.56
Rate for Payer: Hamaspik Choice Inc Medicaid	$89.38
Rate for Payer: Hamaspik Choice Inc Medicare	$89.38
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$116.19

SCREW LOCKING 2.3 X 12

Facility IP

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	64903706
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25

SCREW LOCKING 2.3 X 12

Facility OP

$262.50

Service Code	HCPCS C1713
Hospital Charge Code	64903706
Hospital Revenue Code	278
Min. Negotiated Rate	$91.88
Max. Negotiated Rate	$275.62
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$144.38
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$131.25
Rate for Payer: Cigna LocalPlus Benefit Plan	$150.94
Rate for Payer: Fidelis Medicare Advantage	$275.62
Rate for Payer: Group Health Inc Commercial	$131.25
Rate for Payer: Group Health Inc Medicare	$91.88
Rate for Payer: Hamaspik Choice Inc Medicaid	$131.25
Rate for Payer: Hamaspik Choice Inc Medicare	$131.25
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$170.62

SCREW LOCKING 2.3 X 12MM

Facility OP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902395
Hospital Revenue Code	278
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$257.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$140.88
Rate for Payer: Fidelis Medicare Advantage	$257.25
Rate for Payer: Group Health Inc Commercial	$122.50
Rate for Payer: Group Health Inc Medicare	$85.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$159.25

SCREW LOCKING 2.3 X 12MM

Facility IP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902395
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50

SCREW LOCKING 2.3 X 14MM

Facility IP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902397
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50

SCREW LOCKING 2.3 X 14MM

Facility OP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902397
Hospital Revenue Code	278
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$257.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$140.88
Rate for Payer: Fidelis Medicare Advantage	$257.25
Rate for Payer: Group Health Inc Commercial	$122.50
Rate for Payer: Group Health Inc Medicare	$85.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$159.25

SCREW LOCKING 2.3 X 15MM

Facility IP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902549
Hospital Revenue Code	278
Min. Negotiated Rate	$122.50
Max. Negotiated Rate	$122.50
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50

SCREW LOCKING 2.3 X 15MM

Facility OP

$245.00

Service Code	HCPCS C1713
Hospital Charge Code	64902549
Hospital Revenue Code	278
Min. Negotiated Rate	$85.75
Max. Negotiated Rate	$257.25
Rate for Payer: 1199SEIU National Benefit Fund Commercial	$134.75
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper	$134.20
Rate for Payer: Aetna Government	$134.20
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access	$122.50
Rate for Payer: Cigna LocalPlus Benefit Plan	$140.88
Rate for Payer: Fidelis Medicare Advantage	$257.25
Rate for Payer: Group Health Inc Commercial	$122.50
Rate for Payer: Group Health Inc Medicare	$85.75
Rate for Payer: Hamaspik Choice Inc Medicaid	$122.50
Rate for Payer: Hamaspik Choice Inc Medicare	$122.50
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual	$159.25

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