|
ELECTRODE L HOOK 43CM
|
None
|
Both
|
$165.00
|
|
| Hospital Charge Code |
100613
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$144.00 |
| Max. Negotiated Rate |
$160.00 |
|
|
ELECTRODE MULTIFUNCTION ADULT
|
None
|
Both
|
$91.00
|
|
| Hospital Charge Code |
100662
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$77.00 |
| Max. Negotiated Rate |
$86.00 |
|
|
ELECTRODE MULTIFUNCTION INFANT
|
None
|
Both
|
$58.00
|
|
| Hospital Charge Code |
100661
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$47.00 |
| Max. Negotiated Rate |
$53.00 |
|
|
ELECTRODE QUIK-COMBO ADULT
|
None
|
Both
|
$129.00
|
|
| Hospital Charge Code |
100562
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$111.00 |
| Max. Negotiated Rate |
$124.00 |
|
|
ELECTRODE QUIK-COMBO PED
|
None
|
Both
|
$140.00
|
|
| Hospital Charge Code |
100564
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$121.00 |
| Max. Negotiated Rate |
$135.00 |
|
|
ELECTRODE ZOLL PACING ADULT
|
None
|
Both
|
$171.00
|
|
| Hospital Charge Code |
100660
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$149.00 |
| Max. Negotiated Rate |
$166.00 |
|
|
ENDOGATOR H2O CONNECTOR
|
None
|
Both
|
$43.00
|
|
| Hospital Charge Code |
100787
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.00 |
| Max. Negotiated Rate |
$38.00 |
|
|
ENDOGATOR PUMP IRRIGATION KIT
|
None
|
Both
|
$161.00
|
|
| Hospital Charge Code |
100788
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$140.00 |
| Max. Negotiated Rate |
$156.00 |
|
|
ENDO LIGACLIP 20 CLIP ER320
|
None
|
Both
|
$239.00
|
|
| Hospital Charge Code |
100779
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$210.00 |
| Max. Negotiated Rate |
$234.00 |
|
|
ENDO LIGACLIP 20 CLIP ER420
|
None
|
Both
|
$248.00
|
|
| Hospital Charge Code |
100147
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$218.00 |
| Max. Negotiated Rate |
$243.00 |
|
|
EVACUATOR 400ML SYNDER HEMOVAC
|
None
|
Both
|
$80.00
|
|
| Hospital Charge Code |
100566
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$75.00 |
|
|
EVACUATOR SMOKE ULPA/CHARCOALT
|
None
|
Both
|
$157.00
|
|
| Hospital Charge Code |
100792
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$136.00 |
| Max. Negotiated Rate |
$152.00 |
|
|
EXTRACTOR SKIN STAPLE
|
None
|
Both
|
$13.00
|
|
| Hospital Charge Code |
100469
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$8.00 |
|
|
EZ-10 45MM NEEDLE SET
|
None
|
Both
|
$287.00
|
|
| Hospital Charge Code |
100713
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$253.00 |
| Max. Negotiated Rate |
$282.00 |
|
|
FILTRATION DEVICE PLUME
|
None
|
Both
|
$177.00
|
|
| Hospital Charge Code |
100789
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$154.00 |
| Max. Negotiated Rate |
$172.00 |
|
|
FORCEP WOUND CLOSURE FINE
|
None
|
Both
|
$6.00
|
|
| Hospital Charge Code |
100520
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
$1.00 |
|
|
FORCEP WOUND CLOSURE UNIVERSAL
|
None
|
Both
|
$9.00
|
|
| Hospital Charge Code |
100531
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$4.00 |
|
|
GARMENT COMPRESSION CALF BARIATRIC
|
None
|
Both
|
$137.00
|
|
| Hospital Charge Code |
100786
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$118.00 |
| Max. Negotiated Rate |
$132.00 |
|
|
GARMENT COMPRESSION CALF LGE
|
None
|
Both
|
$89.00
|
|
| Hospital Charge Code |
100785
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$75.00 |
| Max. Negotiated Rate |
$84.00 |
|
|
GARMENT COMPRESSION CALF MED
|
None
|
Both
|
$72.00
|
|
| Hospital Charge Code |
100784
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$60.00 |
| Max. Negotiated Rate |
$67.00 |
|
|
GARMENT COMPRESSION THIGH LGE
|
None
|
Both
|
$116.00
|
|
| Hospital Charge Code |
100783
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$111.00 |
|
|
GARMENT COMPRESSION THIGH MED
|
None
|
Both
|
$101.00
|
|
| Hospital Charge Code |
100782
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$86.00 |
| Max. Negotiated Rate |
$96.00 |
|
|
GAUZE PACKING IODO 1
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100447
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
GAUZE PACKING IODO 1/2
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100445
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
GAUZE PACKING IODO 1/4
|
None
|
Both
|
$10.00
|
|
| Hospital Charge Code |
100448
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5.00 |
|