Skip to main content

Contact Us

(808) 733-4020

(808) 733-4020

I want to use Turquoise...

Select an option to continue.

All services
Package

Arterial revascularization - tibial/peroneal

Package

Arterial revascularization - tibial/peroneal

Arterial revascularization targeting the tibial and peroneal vessels restores blood flow in the smaller arteries of the lower leg supplying the foot and ankle. Because these vessels are particularly delicate, the procedure requires specialized techniques such as microsurgery or advanced endovascular tools, and is performed under anesthesia. Recovery depends on the extent of the repair and overall condition of the affected limb. The goal is to improve circulation, relieve pain, and reduce the risk of serious complications such as tissue damage.

No price found

The price for this service is currently unavailable, please contact us to receive an estimate.
N/A

No price found

Procedures included in this package

This list includes the services and fees bundled into the Arterial revascularization - tibial/peroneal Standard Service Package (SSP CA006). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS C1894 Facility Fee Insertion of Non-intracardiac Diagnostic/Therapeutic Device/Sheath
HCPCS C1769 Facility Fee Controlled Insertion of Thin Wire for Diagnostic Mapping
HCPCS C1887 Facility Fee Intravascular-catheter Guided Infusion/Perfusion
HCPCS C1725 Facility Fee Catheter-guided Transluminal Non-laser Angioplasty with Infusion/Perfusion
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS J1644 Facility Fee Intramuscular Injection of Anti-coagulant Heparin 1000 Units
HCPCS 85025 Facility Fee Complete blood count (CBC) with differential WBC
HCPCS 80048 Facility Fee Basic metabolic panel including calcium, bicarbonate, chloride, creatinine, glucose, potassium, sodium and BUN
HCPCS 75710 Professional Fee Unilateral Extremity Angiography with Radiologist Supervision and Interpretation
HCPCS C1760 Facility Fee Implantable/insertable Vascular Closure Device
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS 75710 Facility Fee Unilateral Extremity Angiography with Radiologist Supervision and Interpretation
HCPCS 37228 Facility Fee Endovascular Revascularization of Unilateral Tibial/Peroneal Artery with Angioplasty
HCPCS 37228 Professional Fee Endovascular Revascularization of Unilateral Tibial/Peroneal Artery with Angioplasty
HCPCS Q9967 Facility Fee Non-ionic low osmolar contrast, 300-399mg/ml iodine concentration per ml

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

No price found

The price for this service is currently unavailable, please contact us to receive an estimate.

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Arterial revascularization - tibial/peroneal
Service Codes HCPCS C1894, HCPCS C1769, HCPCS C1887, HCPCS C1725, HCPCS J3010
Insurance I'm not using insurance
Location Hilo Benioff Medical Center Main
When you contact us, you can say:
"Hi, I'm calling to verify a price for Arterial revascularization - tibial/peroneal I found through Hilo Benioff Medical Center Main's price estimate tool. Here are the codes I’m looking at: HCPCS C1894, HCPCS C1769, HCPCS C1887, HCPCS C1725, HCPCS J3010. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
Website (808) 733-4020