|
CHG IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE
|
Professional
|
Both
|
$295.00
|
|
|
Service Code
|
HCPCS 88342 TC
|
| Min. Negotiated Rate |
$59.45 |
| Max. Negotiated Rate |
$250.75 |
| Rate for Payer: AlohaCare Medicaid |
$70.66
|
| Rate for Payer: AlohaCare Medicare |
$87.92
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Cash Price |
$177.00
|
| Rate for Payer: Devoted Health Medicare |
$96.71
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$87.92
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$59.45
|
| Rate for Payer: Health Management Network Commercial |
$250.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$105.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$105.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$105.50
|
| Rate for Payer: Ohana Health Plan Medicaid |
$70.66
|
| Rate for Payer: Ohana Health Plan Medicare |
$87.92
|
| Rate for Payer: UnitedHealthcare Medicaid |
$70.66
|
| Rate for Payer: UnitedHealthcare Medicare |
$87.92
|
|
|
CHG IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 88341 TC
|
| Min. Negotiated Rate |
$60.64 |
| Max. Negotiated Rate |
$220.15 |
| Rate for Payer: AlohaCare Medicaid |
$60.64
|
| Rate for Payer: AlohaCare Medicare |
$76.71
|
| Rate for Payer: Cash Price |
$155.40
|
| Rate for Payer: Cash Price |
$155.40
|
| Rate for Payer: Devoted Health Medicare |
$84.38
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$76.71
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$75.75
|
| Rate for Payer: Health Management Network Commercial |
$220.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$92.05
|
| Rate for Payer: Kaiser Permanente Medicaid |
$92.05
|
| Rate for Payer: Kaiser Permanente Medicare |
$92.05
|
| Rate for Payer: Ohana Health Plan Medicaid |
$60.64
|
| Rate for Payer: Ohana Health Plan Medicare |
$76.71
|
| Rate for Payer: UnitedHealthcare Medicaid |
$60.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$76.71
|
|
|
CHG IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 88341 26
|
| Min. Negotiated Rate |
$27.68 |
| Max. Negotiated Rate |
$75.75 |
| Rate for Payer: AlohaCare Medicaid |
$60.64
|
| Rate for Payer: AlohaCare Medicare |
$27.68
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Devoted Health Medicare |
$30.45
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$27.68
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$75.75
|
| Rate for Payer: Health Management Network Commercial |
$40.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$33.22
|
| Rate for Payer: Kaiser Permanente Medicaid |
$33.22
|
| Rate for Payer: Kaiser Permanente Medicare |
$33.22
|
| Rate for Payer: Ohana Health Plan Medicaid |
$60.64
|
| Rate for Payer: Ohana Health Plan Medicare |
$27.68
|
| Rate for Payer: UnitedHealthcare Medicaid |
$60.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$27.68
|
|
|
CHG IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX
|
Professional
|
Both
|
$307.00
|
|
|
Service Code
|
HCPCS 88341
|
| Min. Negotiated Rate |
$60.64 |
| Max. Negotiated Rate |
$260.95 |
| Rate for Payer: AlohaCare Medicaid |
$60.64
|
| Rate for Payer: AlohaCare Medicare |
$104.39
|
| Rate for Payer: Cash Price |
$184.20
|
| Rate for Payer: Cash Price |
$184.20
|
| Rate for Payer: Devoted Health Medicare |
$114.83
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$104.39
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$75.75
|
| Rate for Payer: Health Management Network Commercial |
$260.95
|
| Rate for Payer: Kaiser Permanente Commercial |
$125.27
|
| Rate for Payer: Kaiser Permanente Medicaid |
$125.27
|
| Rate for Payer: Kaiser Permanente Medicare |
$125.27
|
| Rate for Payer: Ohana Health Plan Medicaid |
$60.64
|
| Rate for Payer: Ohana Health Plan Medicare |
$104.39
|
| Rate for Payer: UnitedHealthcare Medicaid |
$60.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$104.39
|
|
|
CHG IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX
|
Professional
|
Both
|
$573.00
|
|
|
Service Code
|
HCPCS 88344
|
| Min. Negotiated Rate |
$116.58 |
| Max. Negotiated Rate |
$487.05 |
| Rate for Payer: AlohaCare Medicaid |
$116.58
|
| Rate for Payer: AlohaCare Medicare |
$193.30
|
| Rate for Payer: Cash Price |
$343.80
|
| Rate for Payer: Cash Price |
$343.80
|
| Rate for Payer: Devoted Health Medicare |
$212.63
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$193.30
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$131.10
|
| Rate for Payer: Health Management Network Commercial |
$487.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$231.96
|
| Rate for Payer: Kaiser Permanente Medicaid |
$231.96
|
| Rate for Payer: Kaiser Permanente Medicare |
$231.96
|
| Rate for Payer: Ohana Health Plan Medicaid |
$116.58
|
| Rate for Payer: Ohana Health Plan Medicare |
$193.30
|
| Rate for Payer: UnitedHealthcare Medicaid |
$116.58
|
| Rate for Payer: UnitedHealthcare Medicare |
$193.30
|
|
|
CHG IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX
|
Professional
|
Both
|
$507.00
|
|
|
Service Code
|
HCPCS 88344 TC
|
| Min. Negotiated Rate |
$116.58 |
| Max. Negotiated Rate |
$430.95 |
| Rate for Payer: AlohaCare Medicaid |
$116.58
|
| Rate for Payer: AlohaCare Medicare |
$155.90
|
| Rate for Payer: Cash Price |
$304.20
|
| Rate for Payer: Cash Price |
$304.20
|
| Rate for Payer: Devoted Health Medicare |
$171.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$155.90
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$131.10
|
| Rate for Payer: Health Management Network Commercial |
$430.95
|
| Rate for Payer: Kaiser Permanente Commercial |
$187.08
|
| Rate for Payer: Kaiser Permanente Medicaid |
$187.08
|
| Rate for Payer: Kaiser Permanente Medicare |
$187.08
|
| Rate for Payer: Ohana Health Plan Medicaid |
$116.58
|
| Rate for Payer: Ohana Health Plan Medicare |
$155.90
|
| Rate for Payer: UnitedHealthcare Medicaid |
$116.58
|
| Rate for Payer: UnitedHealthcare Medicare |
$155.90
|
|
|
CHG IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 88344 26
|
| Min. Negotiated Rate |
$37.40 |
| Max. Negotiated Rate |
$131.10 |
| Rate for Payer: AlohaCare Medicaid |
$116.58
|
| Rate for Payer: AlohaCare Medicare |
$37.40
|
| Rate for Payer: Cash Price |
$39.60
|
| Rate for Payer: Cash Price |
$39.60
|
| Rate for Payer: Devoted Health Medicare |
$41.14
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$37.40
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$131.10
|
| Rate for Payer: Health Management Network Commercial |
$56.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$44.88
|
| Rate for Payer: Kaiser Permanente Medicaid |
$44.88
|
| Rate for Payer: Kaiser Permanente Medicare |
$44.88
|
| Rate for Payer: Ohana Health Plan Medicaid |
$116.58
|
| Rate for Payer: Ohana Health Plan Medicare |
$37.40
|
| Rate for Payer: UnitedHealthcare Medicaid |
$116.58
|
| Rate for Payer: UnitedHealthcare Medicare |
$37.40
|
|
|
CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 88346 26
|
| Min. Negotiated Rate |
$34.50 |
| Max. Negotiated Rate |
$100.71 |
| Rate for Payer: AlohaCare Medicaid |
$100.71
|
| Rate for Payer: AlohaCare Medicare |
$34.50
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Devoted Health Medicare |
$37.95
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$34.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$57.13
|
| Rate for Payer: Health Management Network Commercial |
$51.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$41.40
|
| Rate for Payer: Kaiser Permanente Medicaid |
$41.40
|
| Rate for Payer: Kaiser Permanente Medicare |
$41.40
|
| Rate for Payer: Ohana Health Plan Medicaid |
$100.71
|
| Rate for Payer: Ohana Health Plan Medicare |
$34.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$100.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$34.50
|
|
|
CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN
|
Professional
|
Both
|
$472.00
|
|
|
Service Code
|
HCPCS 88346
|
| Min. Negotiated Rate |
$57.13 |
| Max. Negotiated Rate |
$401.20 |
| Rate for Payer: AlohaCare Medicaid |
$100.71
|
| Rate for Payer: AlohaCare Medicare |
$151.85
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Devoted Health Medicare |
$167.03
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$151.85
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$57.13
|
| Rate for Payer: Health Management Network Commercial |
$401.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$182.22
|
| Rate for Payer: Kaiser Permanente Medicaid |
$182.22
|
| Rate for Payer: Kaiser Permanente Medicare |
$182.22
|
| Rate for Payer: Ohana Health Plan Medicaid |
$100.71
|
| Rate for Payer: Ohana Health Plan Medicare |
$151.85
|
| Rate for Payer: UnitedHealthcare Medicaid |
$100.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$151.85
|
|
|
CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 88346 TC
|
| Min. Negotiated Rate |
$57.13 |
| Max. Negotiated Rate |
$350.20 |
| Rate for Payer: AlohaCare Medicaid |
$100.71
|
| Rate for Payer: AlohaCare Medicare |
$117.36
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Devoted Health Medicare |
$129.10
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$117.36
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$57.13
|
| Rate for Payer: Health Management Network Commercial |
$350.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$140.83
|
| Rate for Payer: Kaiser Permanente Medicaid |
$140.83
|
| Rate for Payer: Kaiser Permanente Medicare |
$140.83
|
| Rate for Payer: Ohana Health Plan Medicaid |
$100.71
|
| Rate for Payer: Ohana Health Plan Medicare |
$117.36
|
| Rate for Payer: UnitedHealthcare Medicaid |
$100.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$117.36
|
|
|
CHG IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN
|
Professional
|
Both
|
$358.00
|
|
|
Service Code
|
HCPCS 88350
|
| Min. Negotiated Rate |
$76.49 |
| Max. Negotiated Rate |
$304.30 |
| Rate for Payer: AlohaCare Medicaid |
$76.49
|
| Rate for Payer: AlohaCare Medicare |
$118.50
|
| Rate for Payer: Cash Price |
$214.80
|
| Rate for Payer: Cash Price |
$214.80
|
| Rate for Payer: Devoted Health Medicare |
$130.35
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$118.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$80.65
|
| Rate for Payer: Health Management Network Commercial |
$304.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$142.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$142.20
|
| Rate for Payer: Kaiser Permanente Medicare |
$142.20
|
| Rate for Payer: Ohana Health Plan Medicaid |
$76.49
|
| Rate for Payer: Ohana Health Plan Medicare |
$118.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$76.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$118.50
|
|
|
CHG IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN
|
Professional
|
Both
|
$308.00
|
|
|
Service Code
|
HCPCS 88350 TC
|
| Min. Negotiated Rate |
$76.49 |
| Max. Negotiated Rate |
$261.80 |
| Rate for Payer: AlohaCare Medicaid |
$76.49
|
| Rate for Payer: AlohaCare Medicare |
$90.20
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Devoted Health Medicare |
$99.22
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$90.20
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$80.65
|
| Rate for Payer: Health Management Network Commercial |
$261.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$108.24
|
| Rate for Payer: Kaiser Permanente Medicaid |
$108.24
|
| Rate for Payer: Kaiser Permanente Medicare |
$108.24
|
| Rate for Payer: Ohana Health Plan Medicaid |
$76.49
|
| Rate for Payer: Ohana Health Plan Medicare |
$90.20
|
| Rate for Payer: UnitedHealthcare Medicaid |
$76.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$90.20
|
|
|
CHG IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 88350 26
|
| Min. Negotiated Rate |
$28.30 |
| Max. Negotiated Rate |
$80.65 |
| Rate for Payer: AlohaCare Medicaid |
$76.49
|
| Rate for Payer: AlohaCare Medicare |
$28.30
|
| Rate for Payer: Cash Price |
$30.00
|
| Rate for Payer: Cash Price |
$30.00
|
| Rate for Payer: Devoted Health Medicare |
$31.13
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$28.30
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$80.65
|
| Rate for Payer: Health Management Network Commercial |
$42.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$33.96
|
| Rate for Payer: Kaiser Permanente Medicaid |
$33.96
|
| Rate for Payer: Kaiser Permanente Medicare |
$33.96
|
| Rate for Payer: Ohana Health Plan Medicaid |
$76.49
|
| Rate for Payer: Ohana Health Plan Medicare |
$28.30
|
| Rate for Payer: UnitedHealthcare Medicaid |
$76.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$28.30
|
|
|
CHG INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 87502
|
| Min. Negotiated Rate |
$95.80 |
| Max. Negotiated Rate |
$142.80 |
| Rate for Payer: AlohaCare Medicaid |
$119.75
|
| Rate for Payer: AlohaCare Medicare |
$95.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Devoted Health Medicare |
$105.38
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$95.80
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$119.75
|
| Rate for Payer: Health Management Network Commercial |
$142.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$114.96
|
| Rate for Payer: Kaiser Permanente Medicaid |
$114.96
|
| Rate for Payer: Kaiser Permanente Medicare |
$114.96
|
| Rate for Payer: Ohana Health Plan Medicaid |
$119.75
|
| Rate for Payer: Ohana Health Plan Medicare |
$95.80
|
| Rate for Payer: UnitedHealthcare Medicaid |
$119.75
|
| Rate for Payer: UnitedHealthcare Medicare |
$95.80
|
|
|
CHG IN SITU HYBRIDIZATION 1ST PROBE STAIN
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 88365 26
|
| Min. Negotiated Rate |
$41.83 |
| Max. Negotiated Rate |
$119.11 |
| Rate for Payer: AlohaCare Medicaid |
$119.11
|
| Rate for Payer: AlohaCare Medicare |
$41.83
|
| Rate for Payer: Cash Price |
$43.80
|
| Rate for Payer: Cash Price |
$43.80
|
| Rate for Payer: Devoted Health Medicare |
$46.01
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$41.83
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$66.53
|
| Rate for Payer: Health Management Network Commercial |
$62.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$50.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$50.20
|
| Rate for Payer: Kaiser Permanente Medicare |
$50.20
|
| Rate for Payer: Ohana Health Plan Medicaid |
$119.11
|
| Rate for Payer: Ohana Health Plan Medicare |
$41.83
|
| Rate for Payer: UnitedHealthcare Medicaid |
$119.11
|
| Rate for Payer: UnitedHealthcare Medicare |
$41.83
|
|
|
CHG IN SITU HYBRIDIZATION 1ST PROBE STAIN
|
Professional
|
Both
|
$570.00
|
|
|
Service Code
|
HCPCS 88365
|
| Min. Negotiated Rate |
$66.53 |
| Max. Negotiated Rate |
$484.50 |
| Rate for Payer: AlohaCare Medicaid |
$119.11
|
| Rate for Payer: AlohaCare Medicare |
$187.67
|
| Rate for Payer: Cash Price |
$342.00
|
| Rate for Payer: Cash Price |
$342.00
|
| Rate for Payer: Devoted Health Medicare |
$206.44
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$187.67
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$66.53
|
| Rate for Payer: Health Management Network Commercial |
$484.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$225.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$225.20
|
| Rate for Payer: Kaiser Permanente Medicare |
$225.20
|
| Rate for Payer: Ohana Health Plan Medicaid |
$119.11
|
| Rate for Payer: Ohana Health Plan Medicare |
$187.67
|
| Rate for Payer: UnitedHealthcare Medicaid |
$119.11
|
| Rate for Payer: UnitedHealthcare Medicare |
$187.67
|
|
|
CHG IN SITU HYBRIDIZATION 1ST PROBE STAIN
|
Professional
|
Both
|
$497.00
|
|
|
Service Code
|
HCPCS 88365 TC
|
| Min. Negotiated Rate |
$66.53 |
| Max. Negotiated Rate |
$422.45 |
| Rate for Payer: AlohaCare Medicaid |
$119.11
|
| Rate for Payer: AlohaCare Medicare |
$145.84
|
| Rate for Payer: Cash Price |
$298.20
|
| Rate for Payer: Cash Price |
$298.20
|
| Rate for Payer: Devoted Health Medicare |
$160.42
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$145.84
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$66.53
|
| Rate for Payer: Health Management Network Commercial |
$422.45
|
| Rate for Payer: Kaiser Permanente Commercial |
$175.01
|
| Rate for Payer: Kaiser Permanente Medicaid |
$175.01
|
| Rate for Payer: Kaiser Permanente Medicare |
$175.01
|
| Rate for Payer: Ohana Health Plan Medicaid |
$119.11
|
| Rate for Payer: Ohana Health Plan Medicare |
$145.84
|
| Rate for Payer: UnitedHealthcare Medicaid |
$119.11
|
| Rate for Payer: UnitedHealthcare Medicare |
$145.84
|
|
|
CHG IN SITU HYBRIDIZATION EA ADDL PROBE STAIN
|
Professional
|
Both
|
$361.00
|
|
|
Service Code
|
HCPCS 88364 TC
|
| Min. Negotiated Rate |
$89.48 |
| Max. Negotiated Rate |
$306.85 |
| Rate for Payer: AlohaCare Medicaid |
$89.48
|
| Rate for Payer: AlohaCare Medicare |
$107.67
|
| Rate for Payer: Cash Price |
$216.60
|
| Rate for Payer: Cash Price |
$216.60
|
| Rate for Payer: Devoted Health Medicare |
$118.44
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$107.67
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$109.60
|
| Rate for Payer: Health Management Network Commercial |
$306.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$129.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$129.20
|
| Rate for Payer: Kaiser Permanente Medicare |
$129.20
|
| Rate for Payer: Ohana Health Plan Medicaid |
$89.48
|
| Rate for Payer: Ohana Health Plan Medicare |
$107.67
|
| Rate for Payer: UnitedHealthcare Medicaid |
$89.48
|
| Rate for Payer: UnitedHealthcare Medicare |
$107.67
|
|
|
CHG IN SITU HYBRIDIZATION EA ADDL PROBE STAIN
|
Professional
|
Both
|
$418.00
|
|
|
Service Code
|
HCPCS 88364
|
| Min. Negotiated Rate |
$89.48 |
| Max. Negotiated Rate |
$355.30 |
| Rate for Payer: AlohaCare Medicaid |
$89.48
|
| Rate for Payer: AlohaCare Medicare |
$140.45
|
| Rate for Payer: Cash Price |
$250.80
|
| Rate for Payer: Cash Price |
$250.80
|
| Rate for Payer: Devoted Health Medicare |
$154.50
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$140.45
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$109.60
|
| Rate for Payer: Health Management Network Commercial |
$355.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$168.54
|
| Rate for Payer: Kaiser Permanente Medicaid |
$168.54
|
| Rate for Payer: Kaiser Permanente Medicare |
$168.54
|
| Rate for Payer: Ohana Health Plan Medicaid |
$89.48
|
| Rate for Payer: Ohana Health Plan Medicare |
$140.45
|
| Rate for Payer: UnitedHealthcare Medicaid |
$89.48
|
| Rate for Payer: UnitedHealthcare Medicare |
$140.45
|
|
|
CHG IN SITU HYBRIDIZATION EA ADDL PROBE STAIN
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 88364 26
|
| Min. Negotiated Rate |
$32.78 |
| Max. Negotiated Rate |
$109.60 |
| Rate for Payer: AlohaCare Medicaid |
$89.48
|
| Rate for Payer: AlohaCare Medicare |
$32.78
|
| Rate for Payer: Cash Price |
$34.20
|
| Rate for Payer: Cash Price |
$34.20
|
| Rate for Payer: Devoted Health Medicare |
$36.06
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$32.78
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$109.60
|
| Rate for Payer: Health Management Network Commercial |
$48.45
|
| Rate for Payer: Kaiser Permanente Commercial |
$39.34
|
| Rate for Payer: Kaiser Permanente Medicaid |
$39.34
|
| Rate for Payer: Kaiser Permanente Medicare |
$39.34
|
| Rate for Payer: Ohana Health Plan Medicaid |
$89.48
|
| Rate for Payer: Ohana Health Plan Medicare |
$32.78
|
| Rate for Payer: UnitedHealthcare Medicaid |
$89.48
|
| Rate for Payer: UnitedHealthcare Medicare |
$32.78
|
|
|
CHG LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 88304 26
|
| Min. Negotiated Rate |
$10.63 |
| Max. Negotiated Rate |
$32.68 |
| Rate for Payer: AlohaCare Medicaid |
$28.71
|
| Rate for Payer: AlohaCare Medicare |
$10.63
|
| Rate for Payer: Cash Price |
$11.40
|
| Rate for Payer: Cash Price |
$11.40
|
| Rate for Payer: Devoted Health Medicare |
$11.69
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$10.63
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$32.68
|
| Rate for Payer: Health Management Network Commercial |
$16.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$12.76
|
| Rate for Payer: Kaiser Permanente Medicaid |
$12.76
|
| Rate for Payer: Kaiser Permanente Medicare |
$12.76
|
| Rate for Payer: Ohana Health Plan Medicaid |
$28.71
|
| Rate for Payer: Ohana Health Plan Medicare |
$10.63
|
| Rate for Payer: UnitedHealthcare Medicaid |
$28.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$10.63
|
|
|
CHG LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM
|
Professional
|
Both
|
$137.00
|
|
|
Service Code
|
HCPCS 88304
|
| Min. Negotiated Rate |
$28.71 |
| Max. Negotiated Rate |
$116.45 |
| Rate for Payer: AlohaCare Medicaid |
$28.71
|
| Rate for Payer: AlohaCare Medicare |
$45.38
|
| Rate for Payer: Cash Price |
$82.20
|
| Rate for Payer: Cash Price |
$82.20
|
| Rate for Payer: Devoted Health Medicare |
$49.92
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$45.38
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$32.68
|
| Rate for Payer: Health Management Network Commercial |
$116.45
|
| Rate for Payer: Kaiser Permanente Commercial |
$54.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$54.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$54.46
|
| Rate for Payer: Ohana Health Plan Medicaid |
$28.71
|
| Rate for Payer: Ohana Health Plan Medicare |
$45.38
|
| Rate for Payer: UnitedHealthcare Medicaid |
$28.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$45.38
|
|
|
CHG LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM
|
Professional
|
Both
|
$118.00
|
|
|
Service Code
|
HCPCS 88304 TC
|
| Min. Negotiated Rate |
$28.71 |
| Max. Negotiated Rate |
$100.30 |
| Rate for Payer: AlohaCare Medicaid |
$28.71
|
| Rate for Payer: AlohaCare Medicare |
$34.75
|
| Rate for Payer: Cash Price |
$70.80
|
| Rate for Payer: Cash Price |
$70.80
|
| Rate for Payer: Devoted Health Medicare |
$38.23
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$34.75
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$32.68
|
| Rate for Payer: Health Management Network Commercial |
$100.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$41.70
|
| Rate for Payer: Kaiser Permanente Medicaid |
$41.70
|
| Rate for Payer: Kaiser Permanente Medicare |
$41.70
|
| Rate for Payer: Ohana Health Plan Medicaid |
$28.71
|
| Rate for Payer: Ohana Health Plan Medicare |
$34.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$28.71
|
| Rate for Payer: UnitedHealthcare Medicare |
$34.75
|
|
|
CHG LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM
|
Professional
|
Both
|
$112.00
|
|
|
Service Code
|
HCPCS 88302
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$95.20 |
| Rate for Payer: AlohaCare Medicaid |
$22.33
|
| Rate for Payer: AlohaCare Medicare |
$35.87
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Devoted Health Medicare |
$39.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$35.87
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$22.15
|
| Rate for Payer: Health Management Network Commercial |
$95.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$43.04
|
| Rate for Payer: Kaiser Permanente Medicaid |
$43.04
|
| Rate for Payer: Kaiser Permanente Medicare |
$43.04
|
| Rate for Payer: Ohana Health Plan Medicaid |
$22.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$35.87
|
| Rate for Payer: UnitedHealthcare Medicaid |
$22.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$35.87
|
|
|
CHG LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM
|
Professional
|
Both
|
$12.00
|
|
|
Service Code
|
HCPCS 88302 26
|
| Min. Negotiated Rate |
$6.81 |
| Max. Negotiated Rate |
$22.33 |
| Rate for Payer: AlohaCare Medicaid |
$22.33
|
| Rate for Payer: AlohaCare Medicare |
$6.81
|
| Rate for Payer: Cash Price |
$7.20
|
| Rate for Payer: Cash Price |
$7.20
|
| Rate for Payer: Devoted Health Medicare |
$7.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$6.81
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$22.15
|
| Rate for Payer: Health Management Network Commercial |
$10.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$8.17
|
| Rate for Payer: Kaiser Permanente Medicaid |
$8.17
|
| Rate for Payer: Kaiser Permanente Medicare |
$8.17
|
| Rate for Payer: Ohana Health Plan Medicaid |
$22.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$6.81
|
| Rate for Payer: UnitedHealthcare Medicaid |
$22.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$6.81
|
|
