|
NEEDLE HUBER 20X3/4
|
None
|
Both
|
$16.00
|
|
| Hospital Charge Code |
100319
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$11.00 |
|
|
NEEDLE HUBER 22X3/4
|
None
|
Both
|
$16.00
|
|
| Hospital Charge Code |
100524
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$11.00 |
|
|
NEEDLE HUBER REALIZE 50MM
|
None
|
Both
|
$35.00
|
|
| Hospital Charge Code |
100945
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$30.00 |
|
|
NEEDLE HUBER ST 20X3.5
|
None
|
Both
|
$42.00
|
|
| Hospital Charge Code |
100133
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$37.00 |
|
|
NEEDLE INTRODUCER ONQ 8 X17GA
|
None
|
Both
|
$70.00
|
|
| Hospital Charge Code |
100780
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$58.00 |
| Max. Negotiated Rate |
$65.00 |
|
|
NEEDLE JAMSHIDI BONE MARROW
|
None
|
Both
|
$87.00
|
|
| Hospital Charge Code |
100496
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.00 |
| Max. Negotiated Rate |
$82.00 |
|
|
NEEDLE OLYMPUS DISPOSABLE INJECTION NEED
|
None
|
Both
|
$161.00
|
|
| Hospital Charge Code |
100658
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$140.00 |
| Max. Negotiated Rate |
$156.00 |
|
|
NEEDLE PNEUMOPERITONEUM 150MM
|
None
|
Both
|
$75.00
|
|
| Hospital Charge Code |
100930
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$63.00 |
| Max. Negotiated Rate |
$70.00 |
|
|
NEEDLE SET 15MM
|
None
|
Both
|
$300.00
|
|
| Hospital Charge Code |
100711
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$265.00 |
| Max. Negotiated Rate |
$295.00 |
|
|
NEEDLE SET 25MM
|
None
|
Both
|
$313.00
|
|
| Hospital Charge Code |
100712
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$277.00 |
| Max. Negotiated Rate |
$308.00 |
|
|
NEEDLE SPINAL 18GAX3.5
|
None
|
Both
|
$7.00
|
|
| Hospital Charge Code |
100320
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$2.00 |
|
|
NEEDLE SPINAL 20GAX3.5IN
|
None
|
Both
|
$7.00
|
|
| Hospital Charge Code |
100321
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$2.00 |
|
|
NEEDLE SPINAL 20X3.5 TOUHY
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100138
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|
|
NEEDLE SPINAL 22X3.5IN
|
None
|
Both
|
$57.00
|
|
| Hospital Charge Code |
100322
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$46.00 |
| Max. Negotiated Rate |
$52.00 |
|
|
NEEDLE SPINAL 22X5 BLACK
|
None
|
Both
|
$16.00
|
|
| Hospital Charge Code |
100140
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$11.00 |
|
|
NEEDLE SPINAL 25GAX3.5IN
|
None
|
Both
|
$7.00
|
|
| Hospital Charge Code |
100323
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$2.00 |
|
|
NEEDLE SPINAL SPROTTE 24G
|
None
|
Both
|
$42.00
|
|
| Hospital Charge Code |
100936
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$37.00 |
|
|
NERVE BLOCK BRACHIAL PLEXUS SINGLE
|
None
|
Both
|
$600.00
|
|
|
Service Code
|
None 64415 None
|
| Hospital Charge Code |
100002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$535.00 |
| Max. Negotiated Rate |
$595.00 |
|
|
NEUROSTIMULATOR
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1767 None
|
| Hospital Charge Code |
100106
|
|
Hospital Revenue Code
|
278
|
|
|
NEUROSTIMULATOR, EXTERNAL
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1767 None
|
| Hospital Charge Code |
100107
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$895.00 |
| Max. Negotiated Rate |
$995.00 |
|
|
NEUROSTIMULATOR TEST STIM LEAD 305901
|
None
|
Both
|
$184.00
|
|
|
Service Code
|
None C1897 None
|
| Hospital Charge Code |
100125
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$161.00 |
| Max. Negotiated Rate |
$179.00 |
|
|
NEUROSTIMULATOR TEST STIM LEAD KIT 309101
|
None
|
Both
|
$245.00
|
|
|
Service Code
|
None C1897 None
|
| Hospital Charge Code |
100126
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$216.00 |
| Max. Negotiated Rate |
$240.00 |
|
|
OSTOMY ADAPT BARRIER RINGS 2 7805
|
None
|
Both
|
$12.00
|
|
| Hospital Charge Code |
100268
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$7.00 |
|
|
OSTOMY ADAPT POWDER 7906
|
None
|
Both
|
$17.00
|
|
| Hospital Charge Code |
100270
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.00 |
| Max. Negotiated Rate |
$12.00 |
|
|
OSTOMY DRAINABLE POUCH 18194
|
None
|
Both
|
$6.00
|
|
| Hospital Charge Code |
100266
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
$1.00 |
|