|
RESUSCITATOR PED
|
None
|
Both
|
$78.00
|
|
|
Service Code
|
None S8999 None
|
| Hospital Charge Code |
100176
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$65.00 |
| Max. Negotiated Rate |
$73.00 |
|
|
RUBBER BAND # 32
|
None
|
Both
|
$4.00
|
|
| Hospital Charge Code |
100862
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
-$1.00 |
|
|
SCALPEL DISP SAFETY #10
|
None
|
Both
|
$10.00
|
|
| Hospital Charge Code |
100669
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5.00 |
|
|
SCALPEL DISP SAFETY #11
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100670
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
SCALPEL DISP SAFETY #12
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100672
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
SCALPEL DISP SAFETY #15
|
None
|
Both
|
$10.00
|
|
| Hospital Charge Code |
100671
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$120.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100052
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$103.00 |
| Max. Negotiated Rate |
$115.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$269.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100048
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$237.00 |
| Max. Negotiated Rate |
$264.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$120.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100051
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$103.00 |
| Max. Negotiated Rate |
$115.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$120.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100064
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$103.00 |
| Max. Negotiated Rate |
$115.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$120.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100045
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$103.00 |
| Max. Negotiated Rate |
$115.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$120.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100047
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$103.00 |
| Max. Negotiated Rate |
$115.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$119.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100050
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$114.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$120.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100044
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$103.00 |
| Max. Negotiated Rate |
$115.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$115.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100049
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$110.00 |
|
|
SCREW CANCELLOUS 4.0
|
None
|
Both
|
$115.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100053
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$110.00 |
|
|
SCREW CANCELLOUS 4.0,45MM
|
None
|
Both
|
$101.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100036
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$86.00 |
| Max. Negotiated Rate |
$96.00 |
|
|
SCREW CANCELLOUS 4.0,50MM
|
None
|
Both
|
$101.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100054
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$86.00 |
| Max. Negotiated Rate |
$96.00 |
|
|
SENSI CARE ADHESIVE RELEASER
|
None
|
Both
|
$48.00
|
|
| Hospital Charge Code |
100715
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$38.00 |
| Max. Negotiated Rate |
$43.00 |
|
|
SENSOR PULSE OXI ADULT
|
None
|
Both
|
$48.00
|
|
| Hospital Charge Code |
100509
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$38.00 |
| Max. Negotiated Rate |
$43.00 |
|
|
SENSOR PULSE OXI NEONATAL
|
None
|
Both
|
$62.00
|
|
| Hospital Charge Code |
100510
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$51.00 |
| Max. Negotiated Rate |
$57.00 |
|
|
SERFAS ENERGY 4.0 90-S MAX
|
None
|
Both
|
$493.00
|
|
| Hospital Charge Code |
100538
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$439.00 |
| Max. Negotiated Rate |
$488.00 |
|
|
SET BUTTERFLY 23X3/4X12IN
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100797
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$3.00 |
| Max. Negotiated Rate |
-$4.00 |
|
|
SET EXTENSION 30 BORE
|
None
|
Both
|
$5.00
|
|
| Hospital Charge Code |
100764
|
|
Hospital Revenue Code
|
270
|
|
|
SET IRRIGATION TUR 4-LEAD
|
None
|
Both
|
$37.00
|
|
| Hospital Charge Code |
100791
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$32.00 |
|