ZZ RENO 60 150ML
|
Facility
OP
|
$198.45
|
|
Hospital Charge Code |
41567536
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$69.46 |
Max. Negotiated Rate |
$158.76 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$109.15
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$99.22
|
Rate for Payer: Aetna Government |
$99.22
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$158.76
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$134.95
|
Rate for Payer: Group Health Inc Commercial |
$99.22
|
Rate for Payer: Group Health Inc Medicare |
$69.46
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$99.22
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$99.22
|
|
ZZ RENO 60 50ML
|
Facility
OP
|
$31.19
|
|
Hospital Charge Code |
41567534
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$10.92 |
Max. Negotiated Rate |
$24.95 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$17.15
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$15.60
|
Rate for Payer: Aetna Government |
$15.60
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$24.95
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$21.21
|
Rate for Payer: Group Health Inc Commercial |
$15.60
|
Rate for Payer: Group Health Inc Medicare |
$10.92
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$15.60
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$15.60
|
|
ZZ RFA ABLATION SYSTEM CORE TIP
|
Facility
OP
|
$3,360.00
|
|
Hospital Charge Code |
41568744
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$1,176.00 |
Max. Negotiated Rate |
$2,688.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$1,848.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$1,680.00
|
Rate for Payer: Aetna Government |
$1,680.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$2,688.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$2,284.80
|
Rate for Payer: Group Health Inc Commercial |
$1,680.00
|
Rate for Payer: Group Health Inc Medicare |
$1,176.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$1,680.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$1,680.00
|
|
ZZ RING JUGULAR INTRAHEPATIC
|
Facility
OP
|
$800.89
|
|
Hospital Charge Code |
41567325
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$280.31 |
Max. Negotiated Rate |
$640.71 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$440.49
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$400.44
|
Rate for Payer: Aetna Government |
$400.44
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$640.71
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$544.61
|
Rate for Payer: Group Health Inc Commercial |
$400.44
|
Rate for Payer: Group Health Inc Medicare |
$280.31
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$400.44
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$400.44
|
|
ZZ ROAD RUNNER .018 GUIDE WIRE
|
Facility
OP
|
$275.50
|
|
Service Code
|
HCPCS C1769
|
Hospital Charge Code |
41567747
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$4.08 |
Max. Negotiated Rate |
$289.28 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$151.52
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$4.08
|
Rate for Payer: Aetna Government |
$4.08
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$137.75
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$158.41
|
Rate for Payer: Fidelis Medicare Advantage |
$289.28
|
Rate for Payer: Group Health Inc Commercial |
$137.75
|
Rate for Payer: Group Health Inc Medicare |
$96.42
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$137.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$137.75
|
Rate for Payer: VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual |
$179.08
|
|
ZZ ROAD RUNNER .018 GUIDE WIRE
|
Facility
IP
|
$275.50
|
|
Service Code
|
HCPCS C1769
|
Hospital Charge Code |
41567747
|
Hospital Revenue Code
|
278
|
Min. Negotiated Rate |
$137.75 |
Max. Negotiated Rate |
$137.75 |
Rate for Payer: Hamaspik Choice Inc Medicaid |
$137.75
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$137.75
|
|
ZZ ROOSEVELT TY ANG TRAY
|
Facility
OP
|
$136.44
|
|
Hospital Charge Code |
41567001
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$47.75 |
Max. Negotiated Rate |
$109.15 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$75.04
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$68.22
|
Rate for Payer: Aetna Government |
$68.22
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$109.15
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$92.78
|
Rate for Payer: Group Health Inc Commercial |
$68.22
|
Rate for Payer: Group Health Inc Medicare |
$47.75
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$68.22
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$68.22
|
|
ZZ ROSS INTRODUCER GT KIT 18FR
|
Facility
OP
|
$333.60
|
|
Hospital Charge Code |
41561803
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$116.76 |
Max. Negotiated Rate |
$266.88 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$183.48
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$166.80
|
Rate for Payer: Aetna Government |
$166.80
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$266.88
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$226.85
|
Rate for Payer: Group Health Inc Commercial |
$166.80
|
Rate for Payer: Group Health Inc Medicare |
$116.76
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$166.80
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$166.80
|
|
ZZ ROTATING Y ADAPTER
|
Facility
OP
|
$73.01
|
|
Hospital Charge Code |
41567305
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$25.55 |
Max. Negotiated Rate |
$58.41 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$40.16
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$36.50
|
Rate for Payer: Aetna Government |
$36.50
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$58.41
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$49.65
|
Rate for Payer: Group Health Inc Commercial |
$36.50
|
Rate for Payer: Group Health Inc Medicare |
$25.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$36.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$36.50
|
|
ZZ RPLC VALVE CAP
|
Facility
OP
|
$11.34
|
|
Hospital Charge Code |
41569638
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$3.97 |
Max. Negotiated Rate |
$9.07 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$6.24
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$5.67
|
Rate for Payer: Aetna Government |
$5.67
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$9.07
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$7.71
|
Rate for Payer: Group Health Inc Commercial |
$5.67
|
Rate for Payer: Group Health Inc Medicare |
$3.97
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$5.67
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$5.67
|
|
ZZ SAFE T CENTESIS 6FR CATH DRAIN
|
Facility
OP
|
$147.38
|
|
Hospital Charge Code |
41567571
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$51.58 |
Max. Negotiated Rate |
$117.90 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$81.06
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$73.69
|
Rate for Payer: Aetna Government |
$73.69
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$117.90
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$100.22
|
Rate for Payer: Group Health Inc Commercial |
$73.69
|
Rate for Payer: Group Health Inc Medicare |
$51.58
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$73.69
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$73.69
|
|
ZZ SANARUS 9G INTRO. NEEDLE
|
Facility
OP
|
$24.00
|
|
Hospital Charge Code |
41569958
|
Hospital Revenue Code
|
279
|
Min. Negotiated Rate |
$8.40 |
Max. Negotiated Rate |
$19.20 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13.20
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$12.00
|
Rate for Payer: Aetna Government |
$12.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19.20
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$16.32
|
Rate for Payer: Group Health Inc Commercial |
$12.00
|
Rate for Payer: Group Health Inc Medicare |
$8.40
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$12.00
|
|
ZZ SENORX 0 MAKER 10G
|
Facility
OP
|
$150.00
|
|
Hospital Charge Code |
41568856
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$52.50 |
Max. Negotiated Rate |
$120.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$82.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$75.00
|
Rate for Payer: Aetna Government |
$75.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$120.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$102.00
|
Rate for Payer: Group Health Inc Commercial |
$75.00
|
Rate for Payer: Group Health Inc Medicare |
$52.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$75.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$75.00
|
|
ZZ SENORX 10G NEEDLE GUIDE
|
Facility
OP
|
$13.00
|
|
Hospital Charge Code |
41568853
|
Hospital Revenue Code
|
272
|
Min. Negotiated Rate |
$4.55 |
Max. Negotiated Rate |
$10.40 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.15
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.50
|
Rate for Payer: Aetna Government |
$6.50
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.40
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.84
|
Rate for Payer: Group Health Inc Commercial |
$6.50
|
Rate for Payer: Group Health Inc Medicare |
$4.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6.50
|
|
ZZ SENORX 10G STERO PROBE
|
Facility
OP
|
$400.00
|
|
Hospital Charge Code |
41568806
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$140.00 |
Max. Negotiated Rate |
$320.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$220.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$200.00
|
Rate for Payer: Aetna Government |
$200.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$320.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$272.00
|
Rate for Payer: Group Health Inc Commercial |
$200.00
|
Rate for Payer: Group Health Inc Medicare |
$140.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$200.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$200.00
|
|
ZZ SENORX 7G NEEDLE GUIDE
|
Facility
OP
|
$13.00
|
|
Hospital Charge Code |
41568854
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$4.55 |
Max. Negotiated Rate |
$10.40 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$7.15
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$6.50
|
Rate for Payer: Aetna Government |
$6.50
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$10.40
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$8.84
|
Rate for Payer: Group Health Inc Commercial |
$6.50
|
Rate for Payer: Group Health Inc Medicare |
$4.55
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$6.50
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$6.50
|
|
ZZ SENORX 7G STERO PROBE
|
Facility
OP
|
$400.00
|
|
Hospital Charge Code |
41568807
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$140.00 |
Max. Negotiated Rate |
$320.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$220.00
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$200.00
|
Rate for Payer: Aetna Government |
$200.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$320.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$272.00
|
Rate for Payer: Group Health Inc Commercial |
$200.00
|
Rate for Payer: Group Health Inc Medicare |
$140.00
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$200.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$200.00
|
|
ZZ SENORX GELMARK CLIP
|
Facility
OP
|
$150.00
|
|
Hospital Charge Code |
41568857
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$52.50 |
Max. Negotiated Rate |
$120.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$82.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$75.00
|
Rate for Payer: Aetna Government |
$75.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$120.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$102.00
|
Rate for Payer: Group Health Inc Commercial |
$75.00
|
Rate for Payer: Group Health Inc Medicare |
$52.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$75.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$75.00
|
|
ZZ SENORX M MAKER 10G
|
Facility
OP
|
$150.00
|
|
Hospital Charge Code |
41568859
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$52.50 |
Max. Negotiated Rate |
$120.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$82.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$75.00
|
Rate for Payer: Aetna Government |
$75.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$120.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$102.00
|
Rate for Payer: Group Health Inc Commercial |
$75.00
|
Rate for Payer: Group Health Inc Medicare |
$52.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$75.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$75.00
|
|
ZZ SENORXM MAKER 7G
|
Facility
OP
|
$150.00
|
|
Hospital Charge Code |
41568858
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$52.50 |
Max. Negotiated Rate |
$120.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$82.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$75.00
|
Rate for Payer: Aetna Government |
$75.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$120.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$102.00
|
Rate for Payer: Group Health Inc Commercial |
$75.00
|
Rate for Payer: Group Health Inc Medicare |
$52.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$75.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$75.00
|
|
ZZ SENORX MRI 10G BLUNT INTRO
|
Facility
OP
|
$950.00
|
|
Hospital Charge Code |
41568860
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$332.50 |
Max. Negotiated Rate |
$760.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$522.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$475.00
|
Rate for Payer: Aetna Government |
$475.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$760.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$646.00
|
Rate for Payer: Group Health Inc Commercial |
$475.00
|
Rate for Payer: Group Health Inc Medicare |
$332.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$475.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$475.00
|
|
ZZ SENORX MRI M CLIP
|
Facility
OP
|
$170.00
|
|
Hospital Charge Code |
41568862
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$59.50 |
Max. Negotiated Rate |
$136.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$93.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$85.00
|
Rate for Payer: Aetna Government |
$85.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$136.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$115.60
|
Rate for Payer: Group Health Inc Commercial |
$85.00
|
Rate for Payer: Group Health Inc Medicare |
$59.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$85.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$85.00
|
|
ZZ SENORX MRI M TROCAR INTRO
|
Facility
OP
|
$950.00
|
|
Hospital Charge Code |
41568861
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$332.50 |
Max. Negotiated Rate |
$760.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$522.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$475.00
|
Rate for Payer: Aetna Government |
$475.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$760.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$646.00
|
Rate for Payer: Group Health Inc Commercial |
$475.00
|
Rate for Payer: Group Health Inc Medicare |
$332.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$475.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$475.00
|
|
ZZ SENORX MRI X CLIP
|
Facility
OP
|
$170.00
|
|
Hospital Charge Code |
41568863
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$59.50 |
Max. Negotiated Rate |
$136.00 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$93.50
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$85.00
|
Rate for Payer: Aetna Government |
$85.00
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$136.00
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$115.60
|
Rate for Payer: Group Health Inc Commercial |
$85.00
|
Rate for Payer: Group Health Inc Medicare |
$59.50
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$85.00
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$85.00
|
|
ZZ SENORX RINSE TUBING
|
Facility
OP
|
$24.80
|
|
Hospital Charge Code |
41568855
|
Hospital Revenue Code
|
270
|
Min. Negotiated Rate |
$8.68 |
Max. Negotiated Rate |
$19.84 |
Rate for Payer: 1199SEIU National Benefit Fund Commercial |
$13.64
|
Rate for Payer: Aetna Gatekeeper/Non-Gatekeeper |
$12.40
|
Rate for Payer: Aetna Government |
$12.40
|
Rate for Payer: Cigna HMO/Network Benefit Plan/Open Access |
$19.84
|
Rate for Payer: Cigna LocalPlus Benefit Plan |
$16.86
|
Rate for Payer: Group Health Inc Commercial |
$12.40
|
Rate for Payer: Group Health Inc Medicare |
$8.68
|
Rate for Payer: Hamaspik Choice Inc Medicaid |
$12.40
|
Rate for Payer: Hamaspik Choice Inc Medicare |
$12.40
|
|