|
TRAY MYELOGRAM 22GA X 3.5
|
None
|
Both
|
$90.00
|
|
| Hospital Charge Code |
100812
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$76.00 |
| Max. Negotiated Rate |
$85.00 |
|
|
TRAY PEG GUIDEWIRE SYSTEM 20 F
|
None
|
Both
|
$258.00
|
|
| Hospital Charge Code |
100535
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$227.00 |
| Max. Negotiated Rate |
$253.00 |
|
|
TRAY PERITONEAL LAVAGE
|
None
|
Both
|
$116.00
|
|
| Hospital Charge Code |
100385
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$111.00 |
|
|
TRAY SKIN PREP SCRUB WET
|
None
|
Both
|
$19.00
|
|
| Hospital Charge Code |
100591
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$14.00 |
|
|
TRAY SOFT TISSUE
|
None
|
Both
|
$82.00
|
|
| Hospital Charge Code |
100541
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$69.00 |
| Max. Negotiated Rate |
$77.00 |
|
|
TRAY SUTURE LACERATION
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100379
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
TRAY SUTURE REMOVAL
|
None
|
Both
|
$6.00
|
|
| Hospital Charge Code |
100628
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
$1.00 |
|
|
TRAY THORACENTESIS/PARACENTESIS
|
None
|
Both
|
$201.00
|
|
| Hospital Charge Code |
100681
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$176.00 |
| Max. Negotiated Rate |
$196.00 |
|
|
TRAY THOROCENTESIS 14G X 2
|
None
|
Both
|
$92.00
|
|
| Hospital Charge Code |
100386
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$78.00 |
| Max. Negotiated Rate |
$87.00 |
|
|
TRAY TRACH CARE
|
None
|
Both
|
$5.00
|
|
| Hospital Charge Code |
100315
|
|
Hospital Revenue Code
|
270
|
|
|
TRAY TRACHEOSTOMY CLEANING
|
None
|
Both
|
$7.00
|
|
| Hospital Charge Code |
100837
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$2.00 |
|
|
TRAY URETHRAL CATH 16 FR
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100589
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
TRAY URINE METER
|
None
|
Both
|
$43.00
|
|
| Hospital Charge Code |
100453
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.00 |
| Max. Negotiated Rate |
$38.00 |
|
|
TRAY VAGINAL IRRIGATION
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100316
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
TRIDENT 0 POLYETHYLENE INSERT
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1776 None
|
| Hospital Charge Code |
100112
|
|
Hospital Revenue Code
|
278
|
|
|
TRITANIUM HEMISPHERICAL CLUSTER HOLE SHE
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1776 None
|
| Hospital Charge Code |
100111
|
|
Hospital Revenue Code
|
278
|
|
|
TROCAR 12MM CANNULA W/TROCAR
|
None
|
Both
|
$142.00
|
|
| Hospital Charge Code |
100609
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$123.00 |
| Max. Negotiated Rate |
$137.00 |
|
|
TROCAR 5MM CANNULA/W/TROCAR
|
None
|
Both
|
$159.00
|
|
| Hospital Charge Code |
100612
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$138.00 |
| Max. Negotiated Rate |
$154.00 |
|
|
TROCAR BLADELESS 12MM
|
None
|
Both
|
$388.00
|
|
| Hospital Charge Code |
100614
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$344.00 |
| Max. Negotiated Rate |
$383.00 |
|
|
TROCAR BLADELESS TIP 12MM X 100MM
|
None
|
Both
|
$166.00
|
|
| Hospital Charge Code |
100616
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$144.00 |
| Max. Negotiated Rate |
$161.00 |
|
|
TROCAR BLUNT W/SLEEVE 12MM/100MM H12LP
|
None
|
Both
|
$225.00
|
|
| Hospital Charge Code |
100170
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$198.00 |
| Max. Negotiated Rate |
$220.00 |
|
|
TROCAR DISP 10/12MM
|
None
|
Both
|
$179.00
|
|
| Hospital Charge Code |
100731
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$156.00 |
| Max. Negotiated Rate |
$174.00 |
|
|
TROCAR PYRAMIDAL TIP 5MM X 100MM
|
None
|
Both
|
$81.00
|
|
| Hospital Charge Code |
100615
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$68.00 |
| Max. Negotiated Rate |
$76.00 |
|
|
TROCAR UNIVERSAL
|
None
|
Both
|
$42.00
|
|
| Hospital Charge Code |
100545
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$33.00 |
| Max. Negotiated Rate |
$37.00 |
|
|
TROCAR W/SLEEVE 12MM/100MM B12LT
|
None
|
Both
|
$216.00
|
|
| Hospital Charge Code |
100392
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$189.00 |
| Max. Negotiated Rate |
$211.00 |
|