|
PR EXCISION PILONIDAL CYST/SINUS COMPLICATED
|
Professional
|
Both
|
$1,573.88
|
|
|
Service Code
|
HCPCS 11772
|
| Min. Negotiated Rate |
$473.46 |
| Max. Negotiated Rate |
$1,337.80 |
| Rate for Payer: AlohaCare Medicaid |
$600.76
|
| Rate for Payer: AlohaCare Medicare |
$587.57
|
| Rate for Payer: Cash Price |
$944.33
|
| Rate for Payer: Cash Price |
$944.33
|
| Rate for Payer: Devoted Health Medicare |
$646.33
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$600.76
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$938.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$587.57
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$600.76
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$473.46
|
| Rate for Payer: Health Management Network Commercial |
$1,337.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$705.08
|
| Rate for Payer: Kaiser Permanente Medicaid |
$705.08
|
| Rate for Payer: Kaiser Permanente Medicare |
$705.08
|
| Rate for Payer: Ohana Health Plan Medicaid |
$600.76
|
| Rate for Payer: Ohana Health Plan Medicare |
$587.57
|
| Rate for Payer: UnitedHealthcare Medicaid |
$600.76
|
| Rate for Payer: UnitedHealthcare Medicare |
$587.57
|
| Rate for Payer: University Health Alliance Commercial |
$650.87
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,284.17
|
|
|
Service Code
|
HCPCS 11771
|
| Min. Negotiated Rate |
$411.32 |
| Max. Negotiated Rate |
$1,091.54 |
| Rate for Payer: AlohaCare Medicaid |
$463.32
|
| Rate for Payer: AlohaCare Medicare |
$448.60
|
| Rate for Payer: Cash Price |
$770.50
|
| Rate for Payer: Cash Price |
$770.50
|
| Rate for Payer: Devoted Health Medicare |
$493.46
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$463.32
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$715.76
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$448.60
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$463.32
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$411.32
|
| Rate for Payer: Health Management Network Commercial |
$1,091.54
|
| Rate for Payer: Kaiser Permanente Commercial |
$538.32
|
| Rate for Payer: Kaiser Permanente Medicaid |
$538.32
|
| Rate for Payer: Kaiser Permanente Medicare |
$538.32
|
| Rate for Payer: Ohana Health Plan Medicaid |
$463.32
|
| Rate for Payer: Ohana Health Plan Medicare |
$448.60
|
| Rate for Payer: UnitedHealthcare Medicaid |
$463.32
|
| Rate for Payer: UnitedHealthcare Medicare |
$448.60
|
| Rate for Payer: University Health Alliance Commercial |
$502.84
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$736.28
|
|
|
Service Code
|
HCPCS 11770
|
| Min. Negotiated Rate |
$182.61 |
| Max. Negotiated Rate |
$625.84 |
| Rate for Payer: AlohaCare Medicaid |
$189.25
|
| Rate for Payer: AlohaCare Medicare |
$182.61
|
| Rate for Payer: Cash Price |
$441.77
|
| Rate for Payer: Cash Price |
$441.77
|
| Rate for Payer: Devoted Health Medicare |
$200.87
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$189.25
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$295.17
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$182.61
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$189.25
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$210.08
|
| Rate for Payer: Health Management Network Commercial |
$625.84
|
| Rate for Payer: Kaiser Permanente Commercial |
$219.13
|
| Rate for Payer: Kaiser Permanente Medicaid |
$219.13
|
| Rate for Payer: Kaiser Permanente Medicare |
$219.13
|
| Rate for Payer: Ohana Health Plan Medicaid |
$189.25
|
| Rate for Payer: Ohana Health Plan Medicare |
$182.61
|
| Rate for Payer: UnitedHealthcare Medicaid |
$189.25
|
| Rate for Payer: UnitedHealthcare Medicare |
$182.61
|
| Rate for Payer: University Health Alliance Commercial |
$204.13
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$693.00
|
|
|
Service Code
|
HCPCS 27340
|
| Min. Negotiated Rate |
$252.72 |
| Max. Negotiated Rate |
$589.05 |
| Rate for Payer: AlohaCare Medicaid |
$403.11
|
| Rate for Payer: AlohaCare Medicare |
$384.74
|
| Rate for Payer: Cash Price |
$415.80
|
| Rate for Payer: Cash Price |
$415.80
|
| Rate for Payer: Devoted Health Medicare |
$423.21
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$384.74
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$252.72
|
| Rate for Payer: Health Management Network Commercial |
$589.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$461.69
|
| Rate for Payer: Kaiser Permanente Medicaid |
$461.69
|
| Rate for Payer: Kaiser Permanente Medicare |
$461.69
|
| Rate for Payer: Ohana Health Plan Medicaid |
$403.11
|
| Rate for Payer: Ohana Health Plan Medicare |
$384.74
|
| Rate for Payer: UnitedHealthcare Medicaid |
$403.11
|
| Rate for Payer: UnitedHealthcare Medicare |
$384.74
|
|
|
PR EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN
|
Professional
|
Both
|
$1,463.26
|
|
|
Service Code
|
HCPCS 67966
|
| Min. Negotiated Rate |
$545.48 |
| Max. Negotiated Rate |
$1,243.77 |
| Rate for Payer: AlohaCare Medicaid |
$682.83
|
| Rate for Payer: AlohaCare Medicare |
$577.15
|
| Rate for Payer: Cash Price |
$877.96
|
| Rate for Payer: Cash Price |
$877.96
|
| Rate for Payer: Devoted Health Medicare |
$634.87
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$682.83
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,042.31
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$577.15
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$682.83
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$545.48
|
| Rate for Payer: Health Management Network Commercial |
$1,243.77
|
| Rate for Payer: Kaiser Permanente Commercial |
$692.58
|
| Rate for Payer: Kaiser Permanente Medicaid |
$692.58
|
| Rate for Payer: Kaiser Permanente Medicare |
$692.58
|
| Rate for Payer: Ohana Health Plan Medicaid |
$682.83
|
| Rate for Payer: Ohana Health Plan Medicare |
$577.15
|
| Rate for Payer: UnitedHealthcare Medicaid |
$682.83
|
| Rate for Payer: UnitedHealthcare Medicare |
$577.15
|
| Rate for Payer: University Health Alliance Commercial |
$882.48
|
|
|
PR EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE
|
Professional
|
Both
|
$1,229.00
|
|
|
Service Code
|
HCPCS 15931
|
| Min. Negotiated Rate |
$358.80 |
| Max. Negotiated Rate |
$1,044.65 |
| Rate for Payer: AlohaCare Medicaid |
$716.23
|
| Rate for Payer: AlohaCare Medicare |
$675.76
|
| Rate for Payer: Cash Price |
$737.40
|
| Rate for Payer: Cash Price |
$737.40
|
| Rate for Payer: Devoted Health Medicare |
$743.34
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$675.76
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$358.80
|
| Rate for Payer: Health Management Network Commercial |
$1,044.65
|
| Rate for Payer: Kaiser Permanente Commercial |
$810.91
|
| Rate for Payer: Kaiser Permanente Medicaid |
$810.91
|
| Rate for Payer: Kaiser Permanente Medicare |
$810.91
|
| Rate for Payer: Ohana Health Plan Medicaid |
$716.23
|
| Rate for Payer: Ohana Health Plan Medicare |
$675.76
|
| Rate for Payer: UnitedHealthcare Medicaid |
$716.23
|
| Rate for Payer: UnitedHealthcare Medicare |
$675.76
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$526.92
|
|
|
Service Code
|
HCPCS 46220
|
| Min. Negotiated Rate |
$47.58 |
| Max. Negotiated Rate |
$447.88 |
| Rate for Payer: AlohaCare Medicaid |
$126.89
|
| Rate for Payer: AlohaCare Medicare |
$123.37
|
| Rate for Payer: Cash Price |
$316.15
|
| Rate for Payer: Cash Price |
$316.15
|
| Rate for Payer: Devoted Health Medicare |
$135.71
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$126.89
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$194.85
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$123.37
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$126.89
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$47.58
|
| Rate for Payer: Health Management Network Commercial |
$447.88
|
| Rate for Payer: Kaiser Permanente Commercial |
$148.04
|
| Rate for Payer: Kaiser Permanente Medicaid |
$148.04
|
| Rate for Payer: Kaiser Permanente Medicare |
$148.04
|
| Rate for Payer: Ohana Health Plan Medicaid |
$126.89
|
| Rate for Payer: Ohana Health Plan Medicare |
$123.37
|
| Rate for Payer: UnitedHealthcare Medicaid |
$126.89
|
| Rate for Payer: UnitedHealthcare Medicare |
$123.37
|
| Rate for Payer: University Health Alliance Commercial |
$163.25
|
|
|
PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$772.38
|
|
|
Service Code
|
HCPCS 69145
|
| Min. Negotiated Rate |
$143.00 |
| Max. Negotiated Rate |
$656.52 |
| Rate for Payer: AlohaCare Medicaid |
$277.49
|
| Rate for Payer: AlohaCare Medicare |
$250.33
|
| Rate for Payer: Cash Price |
$463.43
|
| Rate for Payer: Cash Price |
$463.43
|
| Rate for Payer: Devoted Health Medicare |
$275.36
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$277.49
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$426.85
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$250.33
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$277.49
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$143.00
|
| Rate for Payer: Health Management Network Commercial |
$656.52
|
| Rate for Payer: Kaiser Permanente Commercial |
$300.40
|
| Rate for Payer: Kaiser Permanente Medicaid |
$300.40
|
| Rate for Payer: Kaiser Permanente Medicare |
$300.40
|
| Rate for Payer: Ohana Health Plan Medicaid |
$277.49
|
| Rate for Payer: Ohana Health Plan Medicare |
$250.33
|
| Rate for Payer: UnitedHealthcare Medicaid |
$277.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$250.33
|
| Rate for Payer: University Health Alliance Commercial |
$361.49
|
|
|
PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY
|
Professional
|
Both
|
$569.00
|
|
|
Service Code
|
HCPCS 54840
|
| Min. Negotiated Rate |
$289.38 |
| Max. Negotiated Rate |
$483.65 |
| Rate for Payer: AlohaCare Medicaid |
$332.33
|
| Rate for Payer: AlohaCare Medicare |
$303.69
|
| Rate for Payer: Cash Price |
$341.40
|
| Rate for Payer: Cash Price |
$341.40
|
| Rate for Payer: Devoted Health Medicare |
$334.06
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.69
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$289.38
|
| Rate for Payer: Health Management Network Commercial |
$483.65
|
| Rate for Payer: Kaiser Permanente Commercial |
$364.43
|
| Rate for Payer: Kaiser Permanente Medicaid |
$364.43
|
| Rate for Payer: Kaiser Permanente Medicare |
$364.43
|
| Rate for Payer: Ohana Health Plan Medicaid |
$332.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$303.69
|
| Rate for Payer: UnitedHealthcare Medicaid |
$332.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.69
|
|
|
PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$740.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$377.17 |
| Max. Negotiated Rate |
$629.00 |
| Rate for Payer: AlohaCare Medicaid |
$433.84
|
| Rate for Payer: AlohaCare Medicare |
$377.17
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Devoted Health Medicare |
$414.89
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$377.17
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$574.60
|
| Rate for Payer: Health Management Network Commercial |
$629.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$452.60
|
| Rate for Payer: Kaiser Permanente Medicaid |
$452.60
|
| Rate for Payer: Kaiser Permanente Medicare |
$452.60
|
| Rate for Payer: Ohana Health Plan Medicaid |
$433.84
|
| Rate for Payer: Ohana Health Plan Medicare |
$377.17
|
| Rate for Payer: UnitedHealthcare Medicaid |
$433.84
|
| Rate for Payer: UnitedHealthcare Medicare |
$377.17
|
|
|
PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA
|
Professional
|
Both
|
$965.53
|
|
|
Service Code
|
HCPCS 30120
|
| Min. Negotiated Rate |
$334.88 |
| Max. Negotiated Rate |
$820.70 |
| Rate for Payer: AlohaCare Medicaid |
$442.78
|
| Rate for Payer: AlohaCare Medicare |
$387.67
|
| Rate for Payer: Cash Price |
$579.32
|
| Rate for Payer: Cash Price |
$579.32
|
| Rate for Payer: Devoted Health Medicare |
$426.44
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$442.78
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$680.99
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$387.67
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$442.78
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$334.88
|
| Rate for Payer: Health Management Network Commercial |
$820.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$465.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$465.20
|
| Rate for Payer: Kaiser Permanente Medicare |
$465.20
|
| Rate for Payer: Ohana Health Plan Medicaid |
$442.78
|
| Rate for Payer: Ohana Health Plan Medicare |
$387.67
|
| Rate for Payer: UnitedHealthcare Medicaid |
$442.78
|
| Rate for Payer: UnitedHealthcare Medicare |
$387.67
|
| Rate for Payer: University Health Alliance Commercial |
$576.57
|
|
|
PR EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$890.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$359.06 |
| Max. Negotiated Rate |
$756.50 |
| Rate for Payer: AlohaCare Medicaid |
$515.80
|
| Rate for Payer: AlohaCare Medicare |
$481.77
|
| Rate for Payer: Cash Price |
$534.00
|
| Rate for Payer: Cash Price |
$534.00
|
| Rate for Payer: Devoted Health Medicare |
$529.95
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$481.77
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$359.06
|
| Rate for Payer: Health Management Network Commercial |
$756.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$578.12
|
| Rate for Payer: Kaiser Permanente Medicaid |
$578.12
|
| Rate for Payer: Kaiser Permanente Medicare |
$578.12
|
| Rate for Payer: Ohana Health Plan Medicaid |
$515.80
|
| Rate for Payer: Ohana Health Plan Medicare |
$481.77
|
| Rate for Payer: UnitedHealthcare Medicaid |
$515.80
|
| Rate for Payer: UnitedHealthcare Medicare |
$481.77
|
|
|
PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$833.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$301.86 |
| Max. Negotiated Rate |
$708.05 |
| Rate for Payer: AlohaCare Medicaid |
$483.04
|
| Rate for Payer: AlohaCare Medicare |
$447.76
|
| Rate for Payer: Cash Price |
$499.80
|
| Rate for Payer: Cash Price |
$499.80
|
| Rate for Payer: Devoted Health Medicare |
$492.54
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$447.76
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$301.86
|
| Rate for Payer: Health Management Network Commercial |
$708.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$537.31
|
| Rate for Payer: Kaiser Permanente Medicaid |
$537.31
|
| Rate for Payer: Kaiser Permanente Medicare |
$537.31
|
| Rate for Payer: Ohana Health Plan Medicaid |
$483.04
|
| Rate for Payer: Ohana Health Plan Medicare |
$447.76
|
| Rate for Payer: UnitedHealthcare Medicaid |
$483.04
|
| Rate for Payer: UnitedHealthcare Medicare |
$447.76
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$816.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$386.62 |
| Max. Negotiated Rate |
$693.60 |
| Rate for Payer: AlohaCare Medicaid |
$477.90
|
| Rate for Payer: AlohaCare Medicare |
$421.14
|
| Rate for Payer: Cash Price |
$489.60
|
| Rate for Payer: Cash Price |
$489.60
|
| Rate for Payer: Devoted Health Medicare |
$463.25
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$421.14
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$386.62
|
| Rate for Payer: Health Management Network Commercial |
$693.60
|
| Rate for Payer: Kaiser Permanente Commercial |
$505.37
|
| Rate for Payer: Kaiser Permanente Medicaid |
$505.37
|
| Rate for Payer: Kaiser Permanente Medicare |
$505.37
|
| Rate for Payer: Ohana Health Plan Medicaid |
$477.90
|
| Rate for Payer: Ohana Health Plan Medicare |
$421.14
|
| Rate for Payer: UnitedHealthcare Medicaid |
$477.90
|
| Rate for Payer: UnitedHealthcare Medicare |
$421.14
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$822.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$441.22 |
| Max. Negotiated Rate |
$698.70 |
| Rate for Payer: AlohaCare Medicaid |
$478.42
|
| Rate for Payer: AlohaCare Medicare |
$454.08
|
| Rate for Payer: Cash Price |
$493.20
|
| Rate for Payer: Cash Price |
$493.20
|
| Rate for Payer: Devoted Health Medicare |
$499.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$454.08
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$441.22
|
| Rate for Payer: Health Management Network Commercial |
$698.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$544.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$544.90
|
| Rate for Payer: Kaiser Permanente Medicare |
$544.90
|
| Rate for Payer: Ohana Health Plan Medicaid |
$478.42
|
| Rate for Payer: Ohana Health Plan Medicare |
$454.08
|
| Rate for Payer: UnitedHealthcare Medicaid |
$478.42
|
| Rate for Payer: UnitedHealthcare Medicare |
$454.08
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$607.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$328.64 |
| Max. Negotiated Rate |
$515.95 |
| Rate for Payer: AlohaCare Medicaid |
$353.68
|
| Rate for Payer: AlohaCare Medicare |
$331.56
|
| Rate for Payer: Cash Price |
$364.20
|
| Rate for Payer: Cash Price |
$364.20
|
| Rate for Payer: Devoted Health Medicare |
$364.72
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$331.56
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$328.64
|
| Rate for Payer: Health Management Network Commercial |
$515.95
|
| Rate for Payer: Kaiser Permanente Commercial |
$397.87
|
| Rate for Payer: Kaiser Permanente Medicaid |
$397.87
|
| Rate for Payer: Kaiser Permanente Medicare |
$397.87
|
| Rate for Payer: Ohana Health Plan Medicaid |
$353.68
|
| Rate for Payer: Ohana Health Plan Medicare |
$331.56
|
| Rate for Payer: UnitedHealthcare Medicaid |
$353.68
|
| Rate for Payer: UnitedHealthcare Medicare |
$331.56
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$745.55
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$261.21 |
| Max. Negotiated Rate |
$633.72 |
| Rate for Payer: AlohaCare Medicaid |
$277.72
|
| Rate for Payer: AlohaCare Medicare |
$261.21
|
| Rate for Payer: Cash Price |
$447.33
|
| Rate for Payer: Cash Price |
$447.33
|
| Rate for Payer: Devoted Health Medicare |
$287.33
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$277.72
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$420.72
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$261.21
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$277.72
|
| Rate for Payer: Health Management Network Commercial |
$633.72
|
| Rate for Payer: Kaiser Permanente Commercial |
$313.45
|
| Rate for Payer: Kaiser Permanente Medicaid |
$313.45
|
| Rate for Payer: Kaiser Permanente Medicare |
$313.45
|
| Rate for Payer: Ohana Health Plan Medicaid |
$277.72
|
| Rate for Payer: Ohana Health Plan Medicare |
$261.21
|
| Rate for Payer: UnitedHealthcare Medicaid |
$277.72
|
| Rate for Payer: UnitedHealthcare Medicare |
$261.21
|
| Rate for Payer: University Health Alliance Commercial |
$347.45
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,002.49
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$309.66 |
| Max. Negotiated Rate |
$852.12 |
| Rate for Payer: AlohaCare Medicaid |
$378.90
|
| Rate for Payer: AlohaCare Medicare |
$357.52
|
| Rate for Payer: Cash Price |
$601.49
|
| Rate for Payer: Cash Price |
$601.49
|
| Rate for Payer: Devoted Health Medicare |
$393.27
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$378.90
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$582.60
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$357.52
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$378.90
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$309.66
|
| Rate for Payer: Health Management Network Commercial |
$852.12
|
| Rate for Payer: Kaiser Permanente Commercial |
$429.02
|
| Rate for Payer: Kaiser Permanente Medicaid |
$429.02
|
| Rate for Payer: Kaiser Permanente Medicare |
$429.02
|
| Rate for Payer: Ohana Health Plan Medicaid |
$378.90
|
| Rate for Payer: Ohana Health Plan Medicare |
$357.52
|
| Rate for Payer: UnitedHealthcare Medicaid |
$378.90
|
| Rate for Payer: UnitedHealthcare Medicare |
$357.52
|
| Rate for Payer: University Health Alliance Commercial |
$471.40
|
|
|
PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$717.01
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$189.02 |
| Max. Negotiated Rate |
$609.46 |
| Rate for Payer: AlohaCare Medicaid |
$275.26
|
| Rate for Payer: AlohaCare Medicare |
$256.29
|
| Rate for Payer: Cash Price |
$430.21
|
| Rate for Payer: Cash Price |
$430.21
|
| Rate for Payer: Devoted Health Medicare |
$281.92
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$275.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$415.89
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$256.29
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$275.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$189.02
|
| Rate for Payer: Health Management Network Commercial |
$609.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$307.55
|
| Rate for Payer: Kaiser Permanente Medicaid |
$307.55
|
| Rate for Payer: Kaiser Permanente Medicare |
$307.55
|
| Rate for Payer: Ohana Health Plan Medicaid |
$275.26
|
| Rate for Payer: Ohana Health Plan Medicare |
$256.29
|
| Rate for Payer: UnitedHealthcare Medicaid |
$275.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$256.29
|
| Rate for Payer: University Health Alliance Commercial |
$416.00
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$397.89 |
| Max. Negotiated Rate |
$615.40 |
| Rate for Payer: AlohaCare Medicaid |
$420.50
|
| Rate for Payer: AlohaCare Medicare |
$397.89
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Devoted Health Medicare |
$437.68
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$397.89
|
| Rate for Payer: Health Management Network Commercial |
$615.40
|
| Rate for Payer: Kaiser Permanente Commercial |
$477.47
|
| Rate for Payer: Kaiser Permanente Medicaid |
$477.47
|
| Rate for Payer: Kaiser Permanente Medicare |
$477.47
|
| Rate for Payer: Ohana Health Plan Medicaid |
$420.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$397.89
|
| Rate for Payer: UnitedHealthcare Medicaid |
$420.50
|
| Rate for Payer: UnitedHealthcare Medicare |
$397.89
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$820.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$440.44 |
| Max. Negotiated Rate |
$697.00 |
| Rate for Payer: AlohaCare Medicaid |
$477.84
|
| Rate for Payer: AlohaCare Medicare |
$454.65
|
| Rate for Payer: Cash Price |
$492.00
|
| Rate for Payer: Cash Price |
$492.00
|
| Rate for Payer: Devoted Health Medicare |
$500.12
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$454.65
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$440.44
|
| Rate for Payer: Health Management Network Commercial |
$697.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$545.58
|
| Rate for Payer: Kaiser Permanente Medicaid |
$545.58
|
| Rate for Payer: Kaiser Permanente Medicare |
$545.58
|
| Rate for Payer: Ohana Health Plan Medicaid |
$477.84
|
| Rate for Payer: Ohana Health Plan Medicare |
$454.65
|
| Rate for Payer: UnitedHealthcare Medicaid |
$477.84
|
| Rate for Payer: UnitedHealthcare Medicare |
$454.65
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$742.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$393.64 |
| Max. Negotiated Rate |
$630.70 |
| Rate for Payer: AlohaCare Medicaid |
$431.71
|
| Rate for Payer: AlohaCare Medicare |
$411.05
|
| Rate for Payer: Cash Price |
$445.20
|
| Rate for Payer: Cash Price |
$445.20
|
| Rate for Payer: Devoted Health Medicare |
$452.15
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$411.05
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$393.64
|
| Rate for Payer: Health Management Network Commercial |
$630.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$493.26
|
| Rate for Payer: Kaiser Permanente Medicaid |
$493.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$493.26
|
| Rate for Payer: Ohana Health Plan Medicaid |
$431.71
|
| Rate for Payer: Ohana Health Plan Medicare |
$411.05
|
| Rate for Payer: UnitedHealthcare Medicaid |
$431.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$411.05
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$1,041.37
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$135.46 |
| Max. Negotiated Rate |
$885.16 |
| Rate for Payer: AlohaCare Medicaid |
$345.31
|
| Rate for Payer: AlohaCare Medicare |
$329.43
|
| Rate for Payer: Cash Price |
$624.82
|
| Rate for Payer: Cash Price |
$624.82
|
| Rate for Payer: Devoted Health Medicare |
$362.37
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$345.31
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$309.86
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$329.43
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$345.31
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$135.46
|
| Rate for Payer: Health Management Network Commercial |
$885.16
|
| Rate for Payer: Kaiser Permanente Commercial |
$395.32
|
| Rate for Payer: Kaiser Permanente Medicaid |
$395.32
|
| Rate for Payer: Kaiser Permanente Medicare |
$395.32
|
| Rate for Payer: Ohana Health Plan Medicaid |
$345.31
|
| Rate for Payer: Ohana Health Plan Medicare |
$329.43
|
| Rate for Payer: UnitedHealthcare Medicaid |
$345.31
|
| Rate for Payer: UnitedHealthcare Medicare |
$329.43
|
| Rate for Payer: University Health Alliance Commercial |
$449.68
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,014.70
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$317.41 |
| Max. Negotiated Rate |
$862.50 |
| Rate for Payer: AlohaCare Medicaid |
$331.27
|
| Rate for Payer: AlohaCare Medicare |
$317.41
|
| Rate for Payer: Cash Price |
$608.82
|
| Rate for Payer: Cash Price |
$608.82
|
| Rate for Payer: Devoted Health Medicare |
$349.15
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$331.27
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$508.07
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$317.41
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$331.27
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$483.60
|
| Rate for Payer: Health Management Network Commercial |
$862.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$380.89
|
| Rate for Payer: Kaiser Permanente Medicaid |
$380.89
|
| Rate for Payer: Kaiser Permanente Medicare |
$380.89
|
| Rate for Payer: Ohana Health Plan Medicaid |
$331.27
|
| Rate for Payer: Ohana Health Plan Medicare |
$317.41
|
| Rate for Payer: UnitedHealthcare Medicaid |
$331.27
|
| Rate for Payer: UnitedHealthcare Medicare |
$317.41
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$413.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$156.26 |
| Max. Negotiated Rate |
$351.05 |
| Rate for Payer: AlohaCare Medicaid |
$180.19
|
| Rate for Payer: AlohaCare Medicare |
$156.26
|
| Rate for Payer: Cash Price |
$247.80
|
| Rate for Payer: Cash Price |
$247.80
|
| Rate for Payer: Devoted Health Medicare |
$171.89
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$180.19
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$280.05
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$156.26
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$180.19
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$201.50
|
| Rate for Payer: Health Management Network Commercial |
$351.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$187.51
|
| Rate for Payer: Kaiser Permanente Medicaid |
$187.51
|
| Rate for Payer: Kaiser Permanente Medicare |
$187.51
|
| Rate for Payer: Ohana Health Plan Medicaid |
$180.19
|
| Rate for Payer: Ohana Health Plan Medicare |
$156.26
|
| Rate for Payer: UnitedHealthcare Medicaid |
$180.19
|
| Rate for Payer: UnitedHealthcare Medicare |
$156.26
|
| Rate for Payer: University Health Alliance Commercial |
$237.11
|
|
