|
11719-Trimming Nails Nondystrophic
|
Facility
|
IP
|
$353.00
|
|
|
Service Code
|
HCPCS 11719
|
| Hospital Charge Code |
8080196
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$300.05 |
| Max. Negotiated Rate |
$342.41 |
| Rate for Payer: Cash Price |
$229.45
|
| Rate for Payer: Health Management Network Commercial |
$300.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$317.70
|
| Rate for Payer: MDX Hawaii PPO |
$342.41
|
|
|
11719 Trimming of nondystrophic nails, any number
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 11719
|
| Hospital Charge Code |
8037149
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$69.70 |
| Rate for Payer: AlohaCare Medicaid |
$7.38
|
| Rate for Payer: AlohaCare Medicare |
$6.63
|
| Rate for Payer: Cash Price |
$53.30
|
| Rate for Payer: Cash Price |
$53.30
|
| Rate for Payer: Devoted Health Medicare |
$7.29
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$7.38
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$11.70
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$6.63
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$7.38
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$12.48
|
| Rate for Payer: Health Management Network Commercial |
$69.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$7.96
|
| Rate for Payer: Kaiser Permanente Medicaid |
$7.96
|
| Rate for Payer: Kaiser Permanente Medicare |
$7.96
|
| Rate for Payer: Ohana Health Plan Medicaid |
$7.38
|
| Rate for Payer: Ohana Health Plan Medicare |
$6.63
|
| Rate for Payer: UnitedHealthcare Medicaid |
$7.38
|
| Rate for Payer: UnitedHealthcare Medicare |
$6.63
|
| Rate for Payer: University Health Alliance Commercial |
$7.96
|
|
|
11719 Trimming of nondystrophic nails, any number
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 11719
|
| Hospital Charge Code |
8037149
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$6.63 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$7.38
|
| Rate for Payer: AlohaCare Medicare |
$6.63
|
| Rate for Payer: Cash Price |
$53.30
|
| Rate for Payer: Cash Price |
$53.30
|
| Rate for Payer: Cash Price |
$53.30
|
| Rate for Payer: Devoted Health Medicare |
$7.29
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$11.70
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$12.48
|
| Rate for Payer: Health Management Network Commercial |
$69.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$7.96
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$7.38
|
| Rate for Payer: Ohana Health Plan Medicare |
$6.63
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: University Health Alliance Commercial |
$7.96
|
|
|
11720 Debridement of nail(s) by any method(s) 1 to 5
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 11720
|
| Hospital Charge Code |
8037150
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$80.75 |
| Rate for Payer: AlohaCare Medicaid |
$13.89
|
| Rate for Payer: AlohaCare Medicare |
$12.45
|
| Rate for Payer: Cash Price |
$61.75
|
| Rate for Payer: Cash Price |
$61.75
|
| Rate for Payer: Devoted Health Medicare |
$13.70
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$13.89
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$22.34
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$12.45
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$13.89
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$25.74
|
| Rate for Payer: Health Management Network Commercial |
$80.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$14.94
|
| Rate for Payer: Kaiser Permanente Medicaid |
$14.94
|
| Rate for Payer: Kaiser Permanente Medicare |
$14.94
|
| Rate for Payer: Ohana Health Plan Medicaid |
$13.89
|
| Rate for Payer: Ohana Health Plan Medicare |
$12.45
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.89
|
| Rate for Payer: UnitedHealthcare Medicare |
$12.45
|
| Rate for Payer: University Health Alliance Commercial |
$15.40
|
|
|
11720 Debridement of nail(s) by any method(s) 1 to 5
|
Professional
|
Both
|
$119.00
|
|
|
Service Code
|
HCPCS 11720
|
| Hospital Charge Code |
8037150
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$12.45 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$13.89
|
| Rate for Payer: AlohaCare Medicare |
$12.45
|
| Rate for Payer: Cash Price |
$77.35
|
| Rate for Payer: Cash Price |
$77.35
|
| Rate for Payer: Cash Price |
$77.35
|
| Rate for Payer: Devoted Health Medicare |
$13.70
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$22.34
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$25.74
|
| Rate for Payer: Health Management Network Commercial |
$101.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$14.94
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Ohana Health Plan Medicaid |
$13.89
|
| Rate for Payer: Ohana Health Plan Medicare |
$12.45
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$15.40
|
|
|
11720-Nails 1 to 5
|
Facility
|
OP
|
$404.00
|
|
|
Service Code
|
HCPCS 11720
|
| Hospital Charge Code |
8080157
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$202.00 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$202.00
|
| Rate for Payer: AlohaCare Medicare |
$202.00
|
| Rate for Payer: Cash Price |
$262.60
|
| Rate for Payer: Cash Price |
$262.60
|
| Rate for Payer: Devoted Health Medicare |
$222.20
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$202.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$383.80
|
| Rate for Payer: Health Management Network Commercial |
$343.40
|
| Rate for Payer: Humana Medicare |
$202.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$363.60
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$202.00
|
| Rate for Payer: MDX Hawaii PPO |
$391.88
|
| Rate for Payer: Ohana Health Plan Medicaid |
$202.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$202.00
|
| Rate for Payer: UnitedHealthcare Medicare |
$202.00
|
| Rate for Payer: University Health Alliance Commercial |
$294.48
|
|
|
11720-Nails 1 to 5
|
Facility
|
IP
|
$404.00
|
|
|
Service Code
|
HCPCS 11720
|
| Hospital Charge Code |
8080157
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$343.40 |
| Max. Negotiated Rate |
$391.88 |
| Rate for Payer: Cash Price |
$262.60
|
| Rate for Payer: Health Management Network Commercial |
$343.40
|
| Rate for Payer: Kaiser Permanente Commercial |
$363.60
|
| Rate for Payer: MDX Hawaii PPO |
$391.88
|
|
|
11721 Debridement of nail(s) by any method(s); 6 or more
|
Professional
|
Both
|
$160.00
|
|
|
Service Code
|
HCPCS 11721
|
| Hospital Charge Code |
8037151
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$20.95 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$23.31
|
| Rate for Payer: AlohaCare Medicare |
$20.95
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Devoted Health Medicare |
$23.05
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$37.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$42.12
|
| Rate for Payer: Health Management Network Commercial |
$136.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$25.14
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Ohana Health Plan Medicaid |
$23.31
|
| Rate for Payer: Ohana Health Plan Medicare |
$20.95
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$25.55
|
|
|
11721 Debridement of nail(s) by any method(s); 6 or more
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 11721
|
| Hospital Charge Code |
8037151
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$20.95 |
| Max. Negotiated Rate |
$108.80 |
| Rate for Payer: AlohaCare Medicaid |
$23.31
|
| Rate for Payer: AlohaCare Medicare |
$20.95
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Cash Price |
$83.20
|
| Rate for Payer: Devoted Health Medicare |
$23.05
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$23.31
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$37.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$20.95
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$23.31
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$42.12
|
| Rate for Payer: Health Management Network Commercial |
$108.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$25.14
|
| Rate for Payer: Kaiser Permanente Medicaid |
$25.14
|
| Rate for Payer: Kaiser Permanente Medicare |
$25.14
|
| Rate for Payer: Ohana Health Plan Medicaid |
$23.31
|
| Rate for Payer: Ohana Health Plan Medicare |
$20.95
|
| Rate for Payer: UnitedHealthcare Medicaid |
$23.31
|
| Rate for Payer: UnitedHealthcare Medicare |
$20.95
|
| Rate for Payer: University Health Alliance Commercial |
$25.55
|
|
|
11721-Nails 6 or More
|
Facility
|
OP
|
$35.00
|
|
|
Service Code
|
HCPCS 11721
|
| Hospital Charge Code |
8080158
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$17.50 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$17.50
|
| Rate for Payer: AlohaCare Medicare |
$17.50
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Devoted Health Medicare |
$19.25
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$17.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$33.25
|
| Rate for Payer: Health Management Network Commercial |
$29.75
|
| Rate for Payer: Humana Medicare |
$17.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$31.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$17.50
|
| Rate for Payer: MDX Hawaii PPO |
$33.95
|
| Rate for Payer: Ohana Health Plan Medicaid |
$17.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$17.50
|
| Rate for Payer: UnitedHealthcare Medicare |
$17.50
|
| Rate for Payer: University Health Alliance Commercial |
$25.51
|
|
|
11721-Nails 6 or More
|
Facility
|
IP
|
$35.00
|
|
|
Service Code
|
HCPCS 11721
|
| Hospital Charge Code |
8080158
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$29.75 |
| Max. Negotiated Rate |
$33.95 |
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Health Management Network Commercial |
$29.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$31.50
|
| Rate for Payer: MDX Hawaii PPO |
$33.95
|
|
|
11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee
|
Facility
|
OP
|
$605.00
|
|
|
Service Code
|
HCPCS 11730
|
| Hospital Charge Code |
8022610
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$302.50 |
| Max. Negotiated Rate |
$4,035.20 |
| Rate for Payer: AlohaCare Medicaid |
$302.50
|
| Rate for Payer: AlohaCare Medicare |
$302.50
|
| Rate for Payer: Cash Price |
$393.25
|
| Rate for Payer: Cash Price |
$393.25
|
| Rate for Payer: Devoted Health Medicare |
$332.75
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$302.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$574.75
|
| Rate for Payer: Health Management Network Commercial |
$514.25
|
| Rate for Payer: Humana Medicare |
$302.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$544.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$302.50
|
| Rate for Payer: MDX Hawaii PPO |
$586.85
|
| Rate for Payer: Ohana Health Plan Medicaid |
$302.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$302.50
|
| Rate for Payer: UnitedHealthcare Medicare |
$302.50
|
| Rate for Payer: University Health Alliance Commercial |
$4,035.20
|
|
|
11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee
|
Facility
|
IP
|
$605.00
|
|
|
Service Code
|
HCPCS 11730
|
| Hospital Charge Code |
8022610
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$514.25 |
| Max. Negotiated Rate |
$586.85 |
| Rate for Payer: Cash Price |
$393.25
|
| Rate for Payer: Health Management Network Commercial |
$514.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$544.50
|
| Rate for Payer: MDX Hawaii PPO |
$586.85
|
|
|
11730-Avulsion Nail Plate Single
|
Facility
|
OP
|
$510.00
|
|
|
Service Code
|
HCPCS 11730
|
| Hospital Charge Code |
8080198
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$255.00 |
| Max. Negotiated Rate |
$4,035.20 |
| Rate for Payer: AlohaCare Medicaid |
$255.00
|
| Rate for Payer: AlohaCare Medicare |
$255.00
|
| Rate for Payer: Cash Price |
$331.50
|
| Rate for Payer: Cash Price |
$331.50
|
| Rate for Payer: Devoted Health Medicare |
$280.50
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$255.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$484.50
|
| Rate for Payer: Health Management Network Commercial |
$433.50
|
| Rate for Payer: Humana Medicare |
$255.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$459.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$255.00
|
| Rate for Payer: MDX Hawaii PPO |
$494.70
|
| Rate for Payer: Ohana Health Plan Medicaid |
$255.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$255.00
|
| Rate for Payer: UnitedHealthcare Medicare |
$255.00
|
| Rate for Payer: University Health Alliance Commercial |
$4,035.20
|
|
|
11730-Avulsion Nail Plate Single
|
Facility
|
IP
|
$510.00
|
|
|
Service Code
|
HCPCS 11730
|
| Hospital Charge Code |
8080198
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$433.50 |
| Max. Negotiated Rate |
$494.70 |
| Rate for Payer: Cash Price |
$331.50
|
| Rate for Payer: Health Management Network Commercial |
$433.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$459.00
|
| Rate for Payer: MDX Hawaii PPO |
$494.70
|
|
|
11730 Avulsion of nail plate, partial or complete, simple; single
|
Professional
|
Both
|
$361.00
|
|
|
Service Code
|
HCPCS 11730
|
| Hospital Charge Code |
8037152
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$49.29 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: AlohaCare Medicaid |
$54.23
|
| Rate for Payer: AlohaCare Medicare |
$49.29
|
| Rate for Payer: Cash Price |
$234.65
|
| Rate for Payer: Cash Price |
$234.65
|
| Rate for Payer: Cash Price |
$234.65
|
| Rate for Payer: Devoted Health Medicare |
$54.22
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$83.72
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$50.18
|
| Rate for Payer: Health Management Network Commercial |
$306.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$59.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Ohana Health Plan Medicaid |
$54.23
|
| Rate for Payer: Ohana Health Plan Medicare |
$49.29
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$59.12
|
|
|
11730 Avulsion of nail plate, partial or complete, simple; single
|
Professional
|
Both
|
$289.00
|
|
|
Service Code
|
HCPCS 11730
|
| Hospital Charge Code |
8037152
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$49.29 |
| Max. Negotiated Rate |
$245.65 |
| Rate for Payer: AlohaCare Medicaid |
$54.23
|
| Rate for Payer: AlohaCare Medicare |
$49.29
|
| Rate for Payer: Cash Price |
$187.85
|
| Rate for Payer: Cash Price |
$187.85
|
| Rate for Payer: Devoted Health Medicare |
$54.22
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$54.23
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$83.72
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$49.29
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$54.23
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$50.18
|
| Rate for Payer: Health Management Network Commercial |
$245.65
|
| Rate for Payer: Kaiser Permanente Commercial |
$59.15
|
| Rate for Payer: Kaiser Permanente Medicaid |
$59.15
|
| Rate for Payer: Kaiser Permanente Medicare |
$59.15
|
| Rate for Payer: Ohana Health Plan Medicaid |
$54.23
|
| Rate for Payer: Ohana Health Plan Medicare |
$49.29
|
| Rate for Payer: UnitedHealthcare Medicaid |
$54.23
|
| Rate for Payer: UnitedHealthcare Medicare |
$49.29
|
| Rate for Payer: University Health Alliance Commercial |
$59.12
|
|
|
11732-Avulsion Nail Plate Each Addl
|
Facility
|
IP
|
$213.00
|
|
|
Service Code
|
HCPCS 11732
|
| Hospital Charge Code |
8080200
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$181.05 |
| Max. Negotiated Rate |
$206.61 |
| Rate for Payer: Cash Price |
$138.45
|
| Rate for Payer: Health Management Network Commercial |
$181.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$191.70
|
| Rate for Payer: MDX Hawaii PPO |
$206.61
|
|
|
11732-Avulsion Nail Plate Each Addl
|
Facility
|
OP
|
$213.00
|
|
|
Service Code
|
HCPCS 11732
|
| Hospital Charge Code |
8080200
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$106.50 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$106.50
|
| Rate for Payer: AlohaCare Medicare |
$106.50
|
| Rate for Payer: Cash Price |
$138.45
|
| Rate for Payer: Cash Price |
$138.45
|
| Rate for Payer: Devoted Health Medicare |
$117.15
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$106.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$202.35
|
| Rate for Payer: Health Management Network Commercial |
$181.05
|
| Rate for Payer: Humana Medicare |
$106.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$191.70
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$106.50
|
| Rate for Payer: MDX Hawaii PPO |
$206.61
|
| Rate for Payer: Ohana Health Plan Medicaid |
$106.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$106.50
|
| Rate for Payer: UnitedHealthcare Medicare |
$106.50
|
| Rate for Payer: University Health Alliance Commercial |
$155.26
|
|
|
11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 11732
|
| Hospital Charge Code |
8037153
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$9.62 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$16.65
|
| Rate for Payer: AlohaCare Medicare |
$14.84
|
| Rate for Payer: Cash Price |
$81.25
|
| Rate for Payer: Cash Price |
$81.25
|
| Rate for Payer: Cash Price |
$81.25
|
| Rate for Payer: Devoted Health Medicare |
$16.32
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$38.70
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$9.62
|
| Rate for Payer: Health Management Network Commercial |
$106.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$17.81
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Ohana Health Plan Medicaid |
$16.65
|
| Rate for Payer: Ohana Health Plan Medicare |
$14.84
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: University Health Alliance Commercial |
$17.96
|
|
|
11740 Evacuation of subungual hematoma
|
Professional
|
Both
|
$181.00
|
|
|
Service Code
|
HCPCS 11740
|
| Hospital Charge Code |
8037154
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$31.98 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$34.68
|
| Rate for Payer: AlohaCare Medicare |
$33.49
|
| Rate for Payer: Cash Price |
$117.65
|
| Rate for Payer: Cash Price |
$117.65
|
| Rate for Payer: Cash Price |
$117.65
|
| Rate for Payer: Devoted Health Medicare |
$36.84
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$51.06
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$246.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$31.98
|
| Rate for Payer: Health Management Network Commercial |
$153.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$40.19
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$246.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Kaiser Permanente Medicare |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$34.68
|
| Rate for Payer: Ohana Health Plan Medicare |
$33.49
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: University Health Alliance Commercial |
$38.23
|
|
|
11740 Evacuation of subungual hematoma
|
Professional
|
Both
|
$181.00
|
|
|
Service Code
|
HCPCS 11740
|
| Hospital Charge Code |
8037154
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$31.98 |
| Max. Negotiated Rate |
$153.85 |
| Rate for Payer: AlohaCare Medicaid |
$34.68
|
| Rate for Payer: AlohaCare Medicare |
$33.49
|
| Rate for Payer: Cash Price |
$117.65
|
| Rate for Payer: Cash Price |
$117.65
|
| Rate for Payer: Devoted Health Medicare |
$36.84
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$34.68
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$51.06
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$33.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$34.68
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$31.98
|
| Rate for Payer: Health Management Network Commercial |
$153.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$40.19
|
| Rate for Payer: Kaiser Permanente Medicaid |
$40.19
|
| Rate for Payer: Kaiser Permanente Medicare |
$40.19
|
| Rate for Payer: Ohana Health Plan Medicaid |
$34.68
|
| Rate for Payer: Ohana Health Plan Medicare |
$33.49
|
| Rate for Payer: UnitedHealthcare Medicaid |
$34.68
|
| Rate for Payer: UnitedHealthcare Medicare |
$33.49
|
| Rate for Payer: University Health Alliance Commercial |
$38.23
|
|
|
11740-Evacuation Subungual Hematoma
|
Facility
|
OP
|
$310.00
|
|
|
Service Code
|
HCPCS 11740
|
| Hospital Charge Code |
8080055
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$155.00 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$155.00
|
| Rate for Payer: AlohaCare Medicare |
$155.00
|
| Rate for Payer: Cash Price |
$201.50
|
| Rate for Payer: Cash Price |
$201.50
|
| Rate for Payer: Devoted Health Medicare |
$170.50
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$155.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$294.50
|
| Rate for Payer: Health Management Network Commercial |
$263.50
|
| Rate for Payer: Humana Medicare |
$155.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$279.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$155.00
|
| Rate for Payer: MDX Hawaii PPO |
$300.70
|
| Rate for Payer: Ohana Health Plan Medicaid |
$155.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$155.00
|
| Rate for Payer: UnitedHealthcare Medicare |
$155.00
|
| Rate for Payer: University Health Alliance Commercial |
$225.96
|
|
|
11740-Evacuation Subungual Hematoma
|
Facility
|
IP
|
$310.00
|
|
|
Service Code
|
HCPCS 11740
|
| Hospital Charge Code |
8080055
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$263.50 |
| Max. Negotiated Rate |
$300.70 |
| Rate for Payer: Cash Price |
$201.50
|
| Rate for Payer: Health Management Network Commercial |
$263.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$279.00
|
| Rate for Payer: MDX Hawaii PPO |
$300.70
|
|
|
11740 EVACUATION SUBUNGUAL HEMATOMA TechFee
|
Facility
|
OP
|
$355.00
|
|
|
Service Code
|
HCPCS 11740
|
| Hospital Charge Code |
8022612
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$177.50 |
| Max. Negotiated Rate |
$1,600.00 |
| Rate for Payer: AlohaCare Medicaid |
$177.50
|
| Rate for Payer: AlohaCare Medicare |
$177.50
|
| Rate for Payer: Cash Price |
$230.75
|
| Rate for Payer: Cash Price |
$230.75
|
| Rate for Payer: Devoted Health Medicare |
$195.25
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$469.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$1,600.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$177.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$337.25
|
| Rate for Payer: Health Management Network Commercial |
$301.75
|
| Rate for Payer: Humana Medicare |
$177.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$319.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$177.50
|
| Rate for Payer: MDX Hawaii PPO |
$344.35
|
| Rate for Payer: Ohana Health Plan Medicaid |
$177.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$177.50
|
| Rate for Payer: UnitedHealthcare Medicare |
$177.50
|
| Rate for Payer: University Health Alliance Commercial |
$258.76
|
|
