|
PR NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM
|
Professional
|
Both
|
$783.00
|
|
|
Service Code
|
HCPCS 97608
|
| Min. Negotiated Rate |
$21.13 |
| Max. Negotiated Rate |
$665.55 |
| Rate for Payer: AlohaCare Medicaid |
$24.26
|
| Rate for Payer: AlohaCare Medicare |
$21.13
|
| Rate for Payer: Cash Price |
$469.80
|
| Rate for Payer: Cash Price |
$469.80
|
| Rate for Payer: Devoted Health Medicare |
$23.24
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$24.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$40.72
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$21.13
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$24.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$47.78
|
| Rate for Payer: Health Management Network Commercial |
$665.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$25.36
|
| Rate for Payer: Kaiser Permanente Medicaid |
$25.36
|
| Rate for Payer: Kaiser Permanente Medicare |
$25.36
|
| Rate for Payer: Ohana Health Plan Medicaid |
$24.26
|
| Rate for Payer: Ohana Health Plan Medicare |
$21.13
|
| Rate for Payer: UnitedHealthcare Medicaid |
$24.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$21.13
|
| Rate for Payer: University Health Alliance Commercial |
$30.07
|
|
|
PR NEPHRECTOMY PARTIAL
|
Professional
|
Both
|
$2,280.00
|
|
|
Service Code
|
HCPCS 50240
|
| Min. Negotiated Rate |
$1,086.54 |
| Max. Negotiated Rate |
$1,938.00 |
| Rate for Payer: AlohaCare Medicaid |
$1,331.16
|
| Rate for Payer: AlohaCare Medicare |
$1,186.61
|
| Rate for Payer: Cash Price |
$1,368.00
|
| Rate for Payer: Cash Price |
$1,368.00
|
| Rate for Payer: Devoted Health Medicare |
$1,305.27
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,186.61
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,086.54
|
| Rate for Payer: Health Management Network Commercial |
$1,938.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,423.93
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,423.93
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,423.93
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,331.16
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,186.61
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,331.16
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,186.61
|
|
|
PR NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ
|
Professional
|
Both
|
$1,809.00
|
|
|
Service Code
|
HCPCS 50220
|
| Min. Negotiated Rate |
$863.46 |
| Max. Negotiated Rate |
$1,537.65 |
| Rate for Payer: AlohaCare Medicaid |
$1,051.94
|
| Rate for Payer: AlohaCare Medicare |
$955.27
|
| Rate for Payer: Cash Price |
$1,085.40
|
| Rate for Payer: Cash Price |
$1,085.40
|
| Rate for Payer: Devoted Health Medicare |
$1,050.80
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$955.27
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$863.46
|
| Rate for Payer: Health Management Network Commercial |
$1,537.65
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,146.32
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,146.32
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,146.32
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,051.94
|
| Rate for Payer: Ohana Health Plan Medicare |
$955.27
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,051.94
|
| Rate for Payer: UnitedHealthcare Medicare |
$955.27
|
|
|
PR NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD
|
Professional
|
Both
|
$2,181.00
|
|
|
Service Code
|
HCPCS 50230
|
| Min. Negotiated Rate |
$1,132.03 |
| Max. Negotiated Rate |
$1,853.85 |
| Rate for Payer: AlohaCare Medicaid |
$1,273.44
|
| Rate for Payer: AlohaCare Medicare |
$1,132.03
|
| Rate for Payer: Cash Price |
$1,308.60
|
| Rate for Payer: Cash Price |
$1,308.60
|
| Rate for Payer: Devoted Health Medicare |
$1,245.23
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,132.03
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,136.98
|
| Rate for Payer: Health Management Network Commercial |
$1,853.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,358.44
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,358.44
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,358.44
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,273.44
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,132.03
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,273.44
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,132.03
|
|
|
PR NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC
|
Professional
|
Both
|
$2,225.00
|
|
|
Service Code
|
HCPCS 50234
|
| Min. Negotiated Rate |
$1,099.28 |
| Max. Negotiated Rate |
$1,891.25 |
| Rate for Payer: AlohaCare Medicaid |
$1,298.89
|
| Rate for Payer: AlohaCare Medicare |
$1,153.49
|
| Rate for Payer: Cash Price |
$1,335.00
|
| Rate for Payer: Cash Price |
$1,335.00
|
| Rate for Payer: Devoted Health Medicare |
$1,268.84
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,153.49
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,099.28
|
| Rate for Payer: Health Management Network Commercial |
$1,891.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,384.19
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,384.19
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,384.19
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,298.89
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,153.49
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,298.89
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,153.49
|
|
|
PR NEPHROLITHOTOMY REMOVAL CALCULUS
|
Professional
|
Both
|
$1,956.00
|
|
|
Service Code
|
HCPCS 50060
|
| Min. Negotiated Rate |
$892.84 |
| Max. Negotiated Rate |
$1,662.60 |
| Rate for Payer: AlohaCare Medicaid |
$1,141.80
|
| Rate for Payer: AlohaCare Medicare |
$1,016.36
|
| Rate for Payer: Cash Price |
$1,173.60
|
| Rate for Payer: Cash Price |
$1,173.60
|
| Rate for Payer: Devoted Health Medicare |
$1,118.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,016.36
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$892.84
|
| Rate for Payer: Health Management Network Commercial |
$1,662.60
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,219.63
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,219.63
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,219.63
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,141.80
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,016.36
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,141.80
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,016.36
|
|
|
PR NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS
|
Professional
|
Both
|
$2,071.00
|
|
|
Service Code
|
HCPCS 50065
|
| Min. Negotiated Rate |
$983.06 |
| Max. Negotiated Rate |
$1,760.35 |
| Rate for Payer: AlohaCare Medicaid |
$1,208.75
|
| Rate for Payer: AlohaCare Medicare |
$1,074.32
|
| Rate for Payer: Cash Price |
$1,242.60
|
| Rate for Payer: Cash Price |
$1,242.60
|
| Rate for Payer: Devoted Health Medicare |
$1,181.75
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,074.32
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$983.06
|
| Rate for Payer: Health Management Network Commercial |
$1,760.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,289.18
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,289.18
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,289.18
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,208.75
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,074.32
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,208.75
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,074.32
|
|
|
PR NEPHROSTOMY NEPHROTOMY W/DRAINAGE
|
Professional
|
Both
|
$1,599.00
|
|
|
Service Code
|
HCPCS 50040
|
| Min. Negotiated Rate |
$648.96 |
| Max. Negotiated Rate |
$1,359.15 |
| Rate for Payer: AlohaCare Medicaid |
$932.78
|
| Rate for Payer: AlohaCare Medicare |
$833.78
|
| Rate for Payer: Cash Price |
$959.40
|
| Rate for Payer: Cash Price |
$959.40
|
| Rate for Payer: Devoted Health Medicare |
$917.16
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$833.78
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$648.96
|
| Rate for Payer: Health Management Network Commercial |
$1,359.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,000.54
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,000.54
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,000.54
|
| Rate for Payer: Ohana Health Plan Medicaid |
$932.78
|
| Rate for Payer: Ohana Health Plan Medicare |
$833.78
|
| Rate for Payer: UnitedHealthcare Medicaid |
$932.78
|
| Rate for Payer: UnitedHealthcare Medicare |
$833.78
|
|
|
PR NERVE CONDUCTION STUDIES 11-12 STUDIES
|
Professional
|
Both
|
$600.00
|
|
|
Service Code
|
HCPCS 95912
|
| Min. Negotiated Rate |
$265.41 |
| Max. Negotiated Rate |
$510.00 |
| Rate for Payer: AlohaCare Medicaid |
$265.41
|
| Rate for Payer: AlohaCare Medicare |
$273.75
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Devoted Health Medicare |
$301.12
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$273.75
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$282.63
|
| Rate for Payer: Health Management Network Commercial |
$510.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$328.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$328.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$328.50
|
| Rate for Payer: Ohana Health Plan Medicaid |
$265.41
|
| Rate for Payer: Ohana Health Plan Medicare |
$273.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$265.41
|
| Rate for Payer: UnitedHealthcare Medicare |
$273.75
|
|
|
PR NERVE CONDUCTION STUDIES 11-12 STUDIES
|
Professional
|
Both
|
$288.00
|
|
|
Service Code
|
HCPCS 95912 26
|
| Min. Negotiated Rate |
$164.37 |
| Max. Negotiated Rate |
$282.63 |
| Rate for Payer: AlohaCare Medicaid |
$265.41
|
| Rate for Payer: AlohaCare Medicare |
$164.37
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Devoted Health Medicare |
$180.81
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$164.37
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$282.63
|
| Rate for Payer: Health Management Network Commercial |
$244.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$197.24
|
| Rate for Payer: Kaiser Permanente Medicaid |
$197.24
|
| Rate for Payer: Kaiser Permanente Medicare |
$197.24
|
| Rate for Payer: Ohana Health Plan Medicaid |
$265.41
|
| Rate for Payer: Ohana Health Plan Medicare |
$164.37
|
| Rate for Payer: UnitedHealthcare Medicaid |
$265.41
|
| Rate for Payer: UnitedHealthcare Medicare |
$164.37
|
|
|
PR NERVE CONDUCTION STUDIES 11-12 STUDIES
|
Professional
|
Both
|
$312.00
|
|
|
Service Code
|
HCPCS 95912 TC
|
| Min. Negotiated Rate |
$109.38 |
| Max. Negotiated Rate |
$282.63 |
| Rate for Payer: AlohaCare Medicaid |
$265.41
|
| Rate for Payer: AlohaCare Medicare |
$109.38
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Devoted Health Medicare |
$120.32
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$109.38
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$282.63
|
| Rate for Payer: Health Management Network Commercial |
$265.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$131.26
|
| Rate for Payer: Kaiser Permanente Medicaid |
$131.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$131.26
|
| Rate for Payer: Ohana Health Plan Medicaid |
$265.41
|
| Rate for Payer: Ohana Health Plan Medicare |
$109.38
|
| Rate for Payer: UnitedHealthcare Medicaid |
$265.41
|
| Rate for Payer: UnitedHealthcare Medicare |
$109.38
|
|
|
PR NERVE CONDUCTION STUDIES 1-2 STUDIES
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 95907 26
|
| Min. Negotiated Rate |
$55.53 |
| Max. Negotiated Rate |
$102.98 |
| Rate for Payer: AlohaCare Medicaid |
$97.33
|
| Rate for Payer: AlohaCare Medicare |
$55.53
|
| Rate for Payer: Cash Price |
$58.20
|
| Rate for Payer: Cash Price |
$58.20
|
| Rate for Payer: Devoted Health Medicare |
$61.08
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$55.53
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$102.98
|
| Rate for Payer: Health Management Network Commercial |
$82.45
|
| Rate for Payer: Kaiser Permanente Commercial |
$66.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$66.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$66.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$97.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$55.53
|
| Rate for Payer: UnitedHealthcare Medicaid |
$97.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$55.53
|
|
|
PR NERVE CONDUCTION STUDIES 1-2 STUDIES
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 95907
|
| Min. Negotiated Rate |
$97.33 |
| Max. Negotiated Rate |
$193.80 |
| Rate for Payer: AlohaCare Medicaid |
$97.33
|
| Rate for Payer: AlohaCare Medicare |
$101.68
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Devoted Health Medicare |
$111.85
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$101.68
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$102.98
|
| Rate for Payer: Health Management Network Commercial |
$193.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$122.02
|
| Rate for Payer: Kaiser Permanente Medicaid |
$122.02
|
| Rate for Payer: Kaiser Permanente Medicare |
$122.02
|
| Rate for Payer: Ohana Health Plan Medicaid |
$97.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$101.68
|
| Rate for Payer: UnitedHealthcare Medicaid |
$97.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$101.68
|
|
|
PR NERVE CONDUCTION STUDIES 1-2 STUDIES
|
Professional
|
Both
|
$131.00
|
|
|
Service Code
|
HCPCS 95907 TC
|
| Min. Negotiated Rate |
$46.15 |
| Max. Negotiated Rate |
$111.35 |
| Rate for Payer: AlohaCare Medicaid |
$97.33
|
| Rate for Payer: AlohaCare Medicare |
$46.15
|
| Rate for Payer: Cash Price |
$78.60
|
| Rate for Payer: Cash Price |
$78.60
|
| Rate for Payer: Devoted Health Medicare |
$50.77
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$46.15
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$102.98
|
| Rate for Payer: Health Management Network Commercial |
$111.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$55.38
|
| Rate for Payer: Kaiser Permanente Medicaid |
$55.38
|
| Rate for Payer: Kaiser Permanente Medicare |
$55.38
|
| Rate for Payer: Ohana Health Plan Medicaid |
$97.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$46.15
|
| Rate for Payer: UnitedHealthcare Medicaid |
$97.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$46.15
|
|
|
PR NERVE CONDUCTION STUDIES 13/> STUDIES
|
Professional
|
Both
|
$698.00
|
|
|
Service Code
|
HCPCS 95913
|
| Min. Negotiated Rate |
$305.84 |
| Max. Negotiated Rate |
$593.30 |
| Rate for Payer: AlohaCare Medicaid |
$305.84
|
| Rate for Payer: AlohaCare Medicare |
$322.17
|
| Rate for Payer: Cash Price |
$418.80
|
| Rate for Payer: Cash Price |
$418.80
|
| Rate for Payer: Devoted Health Medicare |
$354.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$322.17
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$327.14
|
| Rate for Payer: Health Management Network Commercial |
$593.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$386.60
|
| Rate for Payer: Kaiser Permanente Medicaid |
$386.60
|
| Rate for Payer: Kaiser Permanente Medicare |
$386.60
|
| Rate for Payer: Ohana Health Plan Medicaid |
$305.84
|
| Rate for Payer: Ohana Health Plan Medicare |
$322.17
|
| Rate for Payer: UnitedHealthcare Medicaid |
$305.84
|
| Rate for Payer: UnitedHealthcare Medicare |
$322.17
|
|
|
PR NERVE CONDUCTION STUDIES 13/> STUDIES
|
Professional
|
Both
|
$357.00
|
|
|
Service Code
|
HCPCS 95913 TC
|
| Min. Negotiated Rate |
$127.23 |
| Max. Negotiated Rate |
$327.14 |
| Rate for Payer: AlohaCare Medicaid |
$305.84
|
| Rate for Payer: AlohaCare Medicare |
$127.23
|
| Rate for Payer: Cash Price |
$214.20
|
| Rate for Payer: Cash Price |
$214.20
|
| Rate for Payer: Devoted Health Medicare |
$139.95
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$127.23
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$327.14
|
| Rate for Payer: Health Management Network Commercial |
$303.45
|
| Rate for Payer: Kaiser Permanente Commercial |
$152.68
|
| Rate for Payer: Kaiser Permanente Medicaid |
$152.68
|
| Rate for Payer: Kaiser Permanente Medicare |
$152.68
|
| Rate for Payer: Ohana Health Plan Medicaid |
$305.84
|
| Rate for Payer: Ohana Health Plan Medicare |
$127.23
|
| Rate for Payer: UnitedHealthcare Medicaid |
$305.84
|
| Rate for Payer: UnitedHealthcare Medicare |
$127.23
|
|
|
PR NERVE CONDUCTION STUDIES 13/> STUDIES
|
Professional
|
Both
|
$341.00
|
|
|
Service Code
|
HCPCS 95913 26
|
| Min. Negotiated Rate |
$194.94 |
| Max. Negotiated Rate |
$327.14 |
| Rate for Payer: AlohaCare Medicaid |
$305.84
|
| Rate for Payer: AlohaCare Medicare |
$194.94
|
| Rate for Payer: Cash Price |
$204.60
|
| Rate for Payer: Cash Price |
$204.60
|
| Rate for Payer: Devoted Health Medicare |
$214.43
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$194.94
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$327.14
|
| Rate for Payer: Health Management Network Commercial |
$289.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$233.93
|
| Rate for Payer: Kaiser Permanente Medicaid |
$233.93
|
| Rate for Payer: Kaiser Permanente Medicare |
$233.93
|
| Rate for Payer: Ohana Health Plan Medicaid |
$305.84
|
| Rate for Payer: Ohana Health Plan Medicare |
$194.94
|
| Rate for Payer: UnitedHealthcare Medicaid |
$305.84
|
| Rate for Payer: UnitedHealthcare Medicare |
$194.94
|
|
|
PR NERVE CONDUCTION STUDIES 3-4 STUDIES
|
Professional
|
Both
|
$122.00
|
|
|
Service Code
|
HCPCS 95908 26
|
| Min. Negotiated Rate |
$69.82 |
| Max. Negotiated Rate |
$127.04 |
| Rate for Payer: AlohaCare Medicaid |
$120.75
|
| Rate for Payer: AlohaCare Medicare |
$69.82
|
| Rate for Payer: Cash Price |
$73.20
|
| Rate for Payer: Cash Price |
$73.20
|
| Rate for Payer: Devoted Health Medicare |
$76.80
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$69.82
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$127.04
|
| Rate for Payer: Health Management Network Commercial |
$103.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$83.78
|
| Rate for Payer: Kaiser Permanente Medicaid |
$83.78
|
| Rate for Payer: Kaiser Permanente Medicare |
$83.78
|
| Rate for Payer: Ohana Health Plan Medicaid |
$120.75
|
| Rate for Payer: Ohana Health Plan Medicare |
$69.82
|
| Rate for Payer: UnitedHealthcare Medicaid |
$120.75
|
| Rate for Payer: UnitedHealthcare Medicare |
$69.82
|
|
|
PR NERVE CONDUCTION STUDIES 3-4 STUDIES
|
Professional
|
Both
|
$285.00
|
|
|
Service Code
|
HCPCS 95908
|
| Min. Negotiated Rate |
$120.75 |
| Max. Negotiated Rate |
$242.25 |
| Rate for Payer: AlohaCare Medicaid |
$120.75
|
| Rate for Payer: AlohaCare Medicare |
$127.74
|
| Rate for Payer: Cash Price |
$171.00
|
| Rate for Payer: Cash Price |
$171.00
|
| Rate for Payer: Devoted Health Medicare |
$140.51
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$127.74
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$127.04
|
| Rate for Payer: Health Management Network Commercial |
$242.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$153.29
|
| Rate for Payer: Kaiser Permanente Medicaid |
$153.29
|
| Rate for Payer: Kaiser Permanente Medicare |
$153.29
|
| Rate for Payer: Ohana Health Plan Medicaid |
$120.75
|
| Rate for Payer: Ohana Health Plan Medicare |
$127.74
|
| Rate for Payer: UnitedHealthcare Medicaid |
$120.75
|
| Rate for Payer: UnitedHealthcare Medicare |
$127.74
|
|
|
PR NERVE CONDUCTION STUDIES 3-4 STUDIES
|
Professional
|
Both
|
$163.00
|
|
|
Service Code
|
HCPCS 95908 TC
|
| Min. Negotiated Rate |
$57.92 |
| Max. Negotiated Rate |
$138.55 |
| Rate for Payer: AlohaCare Medicaid |
$120.75
|
| Rate for Payer: AlohaCare Medicare |
$57.92
|
| Rate for Payer: Cash Price |
$97.80
|
| Rate for Payer: Cash Price |
$97.80
|
| Rate for Payer: Devoted Health Medicare |
$63.71
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$57.92
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$127.04
|
| Rate for Payer: Health Management Network Commercial |
$138.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$69.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$69.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$69.50
|
| Rate for Payer: Ohana Health Plan Medicaid |
$120.75
|
| Rate for Payer: Ohana Health Plan Medicare |
$57.92
|
| Rate for Payer: UnitedHealthcare Medicaid |
$120.75
|
| Rate for Payer: UnitedHealthcare Medicare |
$57.92
|
|
|
PR NERVE CONDUCTION STUDIES 5-6 STUDIES
|
Professional
|
Both
|
$343.00
|
|
|
Service Code
|
HCPCS 95909
|
| Min. Negotiated Rate |
$144.94 |
| Max. Negotiated Rate |
$291.55 |
| Rate for Payer: AlohaCare Medicaid |
$144.94
|
| Rate for Payer: AlohaCare Medicare |
$153.42
|
| Rate for Payer: Cash Price |
$205.80
|
| Rate for Payer: Cash Price |
$205.80
|
| Rate for Payer: Devoted Health Medicare |
$168.76
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$153.42
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$152.12
|
| Rate for Payer: Health Management Network Commercial |
$291.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$184.10
|
| Rate for Payer: Kaiser Permanente Medicaid |
$184.10
|
| Rate for Payer: Kaiser Permanente Medicare |
$184.10
|
| Rate for Payer: Ohana Health Plan Medicaid |
$144.94
|
| Rate for Payer: Ohana Health Plan Medicare |
$153.42
|
| Rate for Payer: UnitedHealthcare Medicaid |
$144.94
|
| Rate for Payer: UnitedHealthcare Medicare |
$153.42
|
|
|
PR NERVE CONDUCTION STUDIES 5-6 STUDIES
|
Professional
|
Both
|
$197.00
|
|
|
Service Code
|
HCPCS 95909 TC
|
| Min. Negotiated Rate |
$70.07 |
| Max. Negotiated Rate |
$167.45 |
| Rate for Payer: AlohaCare Medicaid |
$144.94
|
| Rate for Payer: AlohaCare Medicare |
$70.07
|
| Rate for Payer: Cash Price |
$118.20
|
| Rate for Payer: Cash Price |
$118.20
|
| Rate for Payer: Devoted Health Medicare |
$77.08
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$70.07
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$152.12
|
| Rate for Payer: Health Management Network Commercial |
$167.45
|
| Rate for Payer: Kaiser Permanente Commercial |
$84.08
|
| Rate for Payer: Kaiser Permanente Medicaid |
$84.08
|
| Rate for Payer: Kaiser Permanente Medicare |
$84.08
|
| Rate for Payer: Ohana Health Plan Medicaid |
$144.94
|
| Rate for Payer: Ohana Health Plan Medicare |
$70.07
|
| Rate for Payer: UnitedHealthcare Medicaid |
$144.94
|
| Rate for Payer: UnitedHealthcare Medicare |
$70.07
|
|
|
PR NERVE CONDUCTION STUDIES 5-6 STUDIES
|
Professional
|
Both
|
$146.00
|
|
|
Service Code
|
HCPCS 95909 26
|
| Min. Negotiated Rate |
$83.35 |
| Max. Negotiated Rate |
$152.12 |
| Rate for Payer: AlohaCare Medicaid |
$144.94
|
| Rate for Payer: AlohaCare Medicare |
$83.35
|
| Rate for Payer: Cash Price |
$87.60
|
| Rate for Payer: Cash Price |
$87.60
|
| Rate for Payer: Devoted Health Medicare |
$91.69
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$83.35
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$152.12
|
| Rate for Payer: Health Management Network Commercial |
$124.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$100.02
|
| Rate for Payer: Kaiser Permanente Medicaid |
$100.02
|
| Rate for Payer: Kaiser Permanente Medicare |
$100.02
|
| Rate for Payer: Ohana Health Plan Medicaid |
$144.94
|
| Rate for Payer: Ohana Health Plan Medicare |
$83.35
|
| Rate for Payer: UnitedHealthcare Medicaid |
$144.94
|
| Rate for Payer: UnitedHealthcare Medicare |
$83.35
|
|
|
PR NERVE CONDUCTION STUDIES 7-8 STUDIES
|
Professional
|
Both
|
$193.00
|
|
|
Service Code
|
HCPCS 95910 26
|
| Min. Negotiated Rate |
$110.54 |
| Max. Negotiated Rate |
$200.08 |
| Rate for Payer: AlohaCare Medicaid |
$189.12
|
| Rate for Payer: AlohaCare Medicare |
$110.54
|
| Rate for Payer: Cash Price |
$115.80
|
| Rate for Payer: Cash Price |
$115.80
|
| Rate for Payer: Devoted Health Medicare |
$121.59
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$110.54
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$200.08
|
| Rate for Payer: Health Management Network Commercial |
$164.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$132.65
|
| Rate for Payer: Kaiser Permanente Medicaid |
$132.65
|
| Rate for Payer: Kaiser Permanente Medicare |
$132.65
|
| Rate for Payer: Ohana Health Plan Medicaid |
$189.12
|
| Rate for Payer: Ohana Health Plan Medicare |
$110.54
|
| Rate for Payer: UnitedHealthcare Medicaid |
$189.12
|
| Rate for Payer: UnitedHealthcare Medicare |
$110.54
|
|
|
PR NERVE CONDUCTION STUDIES 7-8 STUDIES
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 95910
|
| Min. Negotiated Rate |
$189.12 |
| Max. Negotiated Rate |
$377.40 |
| Rate for Payer: AlohaCare Medicaid |
$189.12
|
| Rate for Payer: AlohaCare Medicare |
$199.60
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Devoted Health Medicare |
$219.56
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$199.60
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$200.08
|
| Rate for Payer: Health Management Network Commercial |
$377.40
|
| Rate for Payer: Kaiser Permanente Commercial |
$239.52
|
| Rate for Payer: Kaiser Permanente Medicaid |
$239.52
|
| Rate for Payer: Kaiser Permanente Medicare |
$239.52
|
| Rate for Payer: Ohana Health Plan Medicaid |
$189.12
|
| Rate for Payer: Ohana Health Plan Medicare |
$199.60
|
| Rate for Payer: UnitedHealthcare Medicaid |
$189.12
|
| Rate for Payer: UnitedHealthcare Medicare |
$199.60
|
|
