STRYKER SCREW NON-LK 3.5X30MM
|
Facility
IP
|
$308.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40004625
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$154.00 |
Max. Negotiated Rate |
$154.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$154.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$154.00
|
|
STRYKER SCREW NON-LK 3.5X30MM
|
Facility
OP
|
$308.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40004625
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$107.80 |
Max. Negotiated Rate |
$323.40 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$169.40
|
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 |
$154.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$177.10
|
Rate for Payer: Fidelis Medicare Advantage |
$323.40
|
Rate for Payer: Group Health Inc Commercial |
$154.00
|
Rate for Payer: Group Health Inc Medicare |
$107.80
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$154.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$154.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$200.20
|
|
STRYKER SCREW NON-LK 3.5X32MM
|
Facility
IP
|
$95.04
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40004632
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$47.52 |
Max. Negotiated Rate |
$47.52 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$47.52
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$47.52
|
|
STRYKER SCREW NON-LK 3.5X32MM
|
Facility
OP
|
$95.04
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40004632
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$33.26 |
Max. Negotiated Rate |
$134.20 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$52.27
|
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 |
$47.52
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$54.65
|
Rate for Payer: Fidelis Medicare Advantage |
$99.79
|
Rate for Payer: Group Health Inc Commercial |
$47.52
|
Rate for Payer: Group Health Inc Medicare |
$33.26
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$47.52
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$47.52
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$61.78
|
|
STRYKER SCREW NONLOCK 2.4CX18MM
|
Facility
IP
|
$300.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40005359
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$150.00 |
Max. Negotiated Rate |
$150.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$150.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$150.00
|
|
STRYKER SCREW NONLOCK 2.4CX18MM
|
Facility
OP
|
$300.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40005359
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$105.00 |
Max. Negotiated Rate |
$315.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$165.00
|
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 |
$150.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$172.50
|
Rate for Payer: Fidelis Medicare Advantage |
$315.00
|
Rate for Payer: Group Health Inc Commercial |
$150.00
|
Rate for Payer: Group Health Inc Medicare |
$105.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$150.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$150.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$195.00
|
|
STRYKER SCRW BONE 2.3X
|
Facility
IP
|
$174.35
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205367
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$87.18 |
Max. Negotiated Rate |
$87.18 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$87.18
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$87.18
|
|
STRYKER SCRW BONE 2.3X
|
Facility
OP
|
$174.35
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205367
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$61.02 |
Max. Negotiated Rate |
$183.07 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$95.89
|
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 |
$87.18
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$100.25
|
Rate for Payer: Fidelis Medicare Advantage |
$183.07
|
Rate for Payer: Group Health Inc Commercial |
$87.18
|
Rate for Payer: Group Health Inc Medicare |
$61.02
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$87.18
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$87.18
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$113.33
|
|
STRYKER SCRW CANC. 6.5 HEX FULL
|
Facility
OP
|
$66.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40207039
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$23.10 |
Max. Negotiated Rate |
$134.20 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$36.30
|
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 |
$33.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$37.95
|
Rate for Payer: Fidelis Medicare Advantage |
$69.30
|
Rate for Payer: Group Health Inc Commercial |
$33.00
|
Rate for Payer: Group Health Inc Medicare |
$23.10
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$33.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$33.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$42.90
|
|
STRYKER SCRW CANC. 6.5 HEX FULL
|
Facility
IP
|
$66.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40207039
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$33.00 |
Max. Negotiated Rate |
$33.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$33.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$33.00
|
|
STRYKER SCRW CANCELLOUS 4.0
|
Facility
IP
|
$35.00
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40205133
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$17.50 |
Max. Negotiated Rate |
$17.50 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$17.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$17.50
|
|
STRYKER SCRW CANCELLOUS 4.0
|
Facility
OP
|
$35.00
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40205133
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$12.25 |
Max. Negotiated Rate |
$339.17 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$19.25
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
Rate for Payer: Aetna Government |
$339.17
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$17.50
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$20.12
|
Rate for Payer: Fidelis Medicare Advantage |
$36.75
|
Rate for Payer: Group Health Inc Commercial |
$17.50
|
Rate for Payer: Group Health Inc Medicare |
$12.25
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$17.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$17.50
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$22.75
|
|
STRYKER SCRW CANNULTD 4.0X60MM FT
|
Facility
OP
|
$298.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205489
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$104.30 |
Max. Negotiated Rate |
$312.90 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$163.90
|
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 |
$149.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$171.35
|
Rate for Payer: Fidelis Medicare Advantage |
$312.90
|
Rate for Payer: Group Health Inc Commercial |
$149.00
|
Rate for Payer: Group Health Inc Medicare |
$104.30
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$149.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$149.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$193.70
|
|
STRYKER SCRW CANNULTD 4.0X60MM FT
|
Facility
IP
|
$298.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205489
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$149.00 |
Max. Negotiated Rate |
$149.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$149.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$149.00
|
|
STRYKER SCRW CAN P/T 4.0X65MM
|
Facility
IP
|
$37.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205405
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$18.90 |
Max. Negotiated Rate |
$18.90 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$18.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$18.90
|
|
STRYKER SCRW CAN P/T 4.0X65MM
|
Facility
OP
|
$37.80
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205405
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$13.23 |
Max. Negotiated Rate |
$134.20 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$20.79
|
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 |
$18.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$21.74
|
Rate for Payer: Fidelis Medicare Advantage |
$39.69
|
Rate for Payer: Group Health Inc Commercial |
$18.90
|
Rate for Payer: Group Health Inc Medicare |
$13.23
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$18.90
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$18.90
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$24.57
|
|
STRYKER SCRW CORTEX 3.5X60MM FT
|
Facility
IP
|
$40.60
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40208170
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$20.30 |
Max. Negotiated Rate |
$20.30 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$20.30
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$20.30
|
|
STRYKER SCRW CORTEX 3.5X60MM FT
|
Facility
OP
|
$40.60
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40208170
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$14.21 |
Max. Negotiated Rate |
$339.17 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$22.33
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
Rate for Payer: Aetna Government |
$339.17
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$20.30
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$23.34
|
Rate for Payer: Fidelis Medicare Advantage |
$42.63
|
Rate for Payer: Group Health Inc Commercial |
$20.30
|
Rate for Payer: Group Health Inc Medicare |
$14.21
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$20.30
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$20.30
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$26.39
|
|
STRYKER SCRW C/TEX 4.5X34MM HEX
|
Facility
IP
|
$43.40
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40205280
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$21.70 |
Max. Negotiated Rate |
$21.70 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$21.70
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$21.70
|
|
STRYKER SCRW C/TEX 4.5X34MM HEX
|
Facility
OP
|
$43.40
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40205280
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$15.19 |
Max. Negotiated Rate |
$339.17 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$23.87
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
Rate for Payer: Aetna Government |
$339.17
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$21.70
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$24.96
|
Rate for Payer: Fidelis Medicare Advantage |
$45.57
|
Rate for Payer: Group Health Inc Commercial |
$21.70
|
Rate for Payer: Group Health Inc Medicare |
$15.19
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$21.70
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$21.70
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$28.21
|
|
STRYKER SCRW LCKNG 4.0X
|
Facility
IP
|
$166.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205407
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$83.00 |
Max. Negotiated Rate |
$83.00 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$83.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$83.00
|
|
STRYKER SCRW LCKNG 4.0X
|
Facility
OP
|
$166.00
|
|
Service Code
|
HCPCS C1713
|
Hospital Charge Code |
40205407
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$58.10 |
Max. Negotiated Rate |
$174.30 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$91.30
|
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 |
$83.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$95.45
|
Rate for Payer: Fidelis Medicare Advantage |
$174.30
|
Rate for Payer: Group Health Inc Commercial |
$83.00
|
Rate for Payer: Group Health Inc Medicare |
$58.10
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$83.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$83.00
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$107.90
|
|
STRYKER SECURE HIP STEM
|
Facility
OP
|
$10,632.60
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40029618
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$339.17 |
Max. Negotiated Rate |
$11,164.23 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$5,847.93
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$339.17
|
Rate for Payer: Aetna Government |
$339.17
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$5,316.30
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$6,113.74
|
Rate for Payer: Fidelis Medicare Advantage |
$11,164.23
|
Rate for Payer: Group Health Inc Commercial |
$5,316.30
|
Rate for Payer: Group Health Inc Medicare |
$3,721.41
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5,316.30
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5,316.30
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$6,911.19
|
|
STRYKER SECURE HIP STEM
|
Facility
IP
|
$10,632.60
|
|
Service Code
|
HCPCS C1776
|
Hospital Charge Code |
40029618
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$5,316.30 |
Max. Negotiated Rate |
$5,316.30 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5,316.30
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5,316.30
|
|
STRYKER SHORT DRILL BIT 3.1
|
Facility
OP
|
$438.80
|
|
Hospital Charge Code |
40204499
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$153.58 |
Max. Negotiated Rate |
$351.04 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$241.34
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$219.40
|
Rate for Payer: Aetna Government |
$219.40
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$351.04
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$298.38
|
Rate for Payer: Group Health Inc Commercial |
$219.40
|
Rate for Payer: Group Health Inc Medicare |
$153.58
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$219.40
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$219.40
|
|