|
STRAP CLAVICLE SM
|
None
|
Both
|
$37.00
|
|
| Hospital Charge Code |
100527
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$32.00 |
|
|
STRAP CLAVICLE XLG
|
None
|
Both
|
$37.00
|
|
| Hospital Charge Code |
100540
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$28.00 |
| Max. Negotiated Rate |
$32.00 |
|
|
STRAP CLAVICLE XS
|
None
|
Both
|
$65.00
|
|
| Hospital Charge Code |
100528
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.00 |
| Max. Negotiated Rate |
$60.00 |
|
|
STRAP DEVICE SECURE
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100141
|
|
Hospital Revenue Code
|
270
|
|
|
STRAP OB ABDOMINAL TRANSDUCER
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100543
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
STRYKER 4.0 BARREL BURR
|
None
|
Both
|
$127.00
|
|
| Hospital Charge Code |
100537
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$109.00 |
| Max. Negotiated Rate |
$122.00 |
|
|
STRYKER 4.0 ROUND BURR
|
None
|
Both
|
$127.00
|
|
| Hospital Charge Code |
100536
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$109.00 |
| Max. Negotiated Rate |
$122.00 |
|
|
STRYKER ASYMMETRIC PATELLA
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100041
|
|
Hospital Revenue Code
|
278
|
|
|
STRYKER FEMORAL COMPONENT
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100038
|
|
Hospital Revenue Code
|
278
|
|
|
STRYKER FEMORAL COMPONENT
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100037
|
|
Hospital Revenue Code
|
278
|
|
|
STRYKER FEMORAL HEAD
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100040
|
|
Hospital Revenue Code
|
278
|
|
|
STRYKER TIBIAL BEARING INSERT
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100042
|
|
Hospital Revenue Code
|
278
|
|
|
STYLET INTUBATING 14 FR
|
None
|
Both
|
$14.00
|
|
| Hospital Charge Code |
100474
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$9.00 |
|
|
STYLET INTUBATING 6 FR
|
None
|
Both
|
$14.00
|
|
| Hospital Charge Code |
100347
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$9.00 |
|
|
SUCTION COAG FOOTSWITCH
|
None
|
Both
|
$62.00
|
|
| Hospital Charge Code |
100310
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$51.00 |
| Max. Negotiated Rate |
$57.00 |
|
|
SUCTION KIT SOLO IRRIGATION
|
None
|
Both
|
$242.00
|
|
| Hospital Charge Code |
100863
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$213.00 |
| Max. Negotiated Rate |
$237.00 |
|
|
SUPPORTER SCROTUM LARGE
|
None
|
Both
|
$52.00
|
|
| Hospital Charge Code |
100389
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$47.00 |
|
|
SUPPORTER SCROTUM XLG
|
None
|
Both
|
$47.00
|
|
| Hospital Charge Code |
100390
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$37.00 |
| Max. Negotiated Rate |
$42.00 |
|
|
SUPPORT WRIST L-L
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100417
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|
|
SUPPORT WRIST L-M
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100416
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|
|
SUPPORT WRIST L-S
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100415
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|
|
SUPPORT WRIST L-XL
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100418
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|
|
SUPPORT WRIST L-XS
|
None
|
Both
|
$25.00
|
|
| Hospital Charge Code |
100414
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$20.00 |
|
|
SUPPORT WRIST R-L
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100422
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|
|
SUPPORT WRIST R-M
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100421
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|