|
36556 CENTRAL VENOUS CATHETER PLACE>2YR HOSP P
|
Facility
|
OP
|
$5,300.00
|
|
|
Service Code
|
HCPCS 36556
|
| Hospital Charge Code |
8051032
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$5,141.00 |
| Rate for Payer: AlohaCare Medicaid |
$2,650.00
|
| Rate for Payer: AlohaCare Medicare |
$2,650.00
|
| Rate for Payer: Cash Price |
$3,445.00
|
| Rate for Payer: Cash Price |
$3,445.00
|
| Rate for Payer: Cash Price |
$3,445.00
|
| Rate for Payer: Devoted Health Medicare |
$2,915.00
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$4,032.34
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$2,650.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$5,035.00
|
| Rate for Payer: Health Management Network Commercial |
$4,505.00
|
| Rate for Payer: Humana Medicare |
$2,650.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$4,770.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$2,703.00
|
| Rate for Payer: Kaiser Permanente Medicare |
$2,650.00
|
| Rate for Payer: MDX Hawaii PPO |
$5,141.00
|
| Rate for Payer: Ohana Health Plan Medicaid |
$2,650.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$2,650.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$2,650.00
|
| Rate for Payer: University Health Alliance Commercial |
$2,968.00
|
|
|
36556 CENTRAL VENOUS CATHETER PLACE>2YR HOSP P
|
Facility
|
IP
|
$5,300.00
|
|
|
Service Code
|
HCPCS 36556
|
| Hospital Charge Code |
8051032
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,505.00 |
| Max. Negotiated Rate |
$5,141.00 |
| Rate for Payer: Cash Price |
$3,445.00
|
| Rate for Payer: Health Management Network Commercial |
$4,505.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$4,770.00
|
| Rate for Payer: MDX Hawaii PPO |
$5,141.00
|
|
|
36556 CENTRAL VENOUS CATHETER PLACE>2YR HOSP P
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36556
|
| Hospital Charge Code |
8051032
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$75.99 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$82.05
|
| Rate for Payer: AlohaCare Medicare |
$75.99
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$83.59
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$82.05
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$170.35
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$75.99
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$82.05
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$317.46
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$91.19
|
| Rate for Payer: Kaiser Permanente Medicaid |
$91.19
|
| Rate for Payer: Kaiser Permanente Medicare |
$91.19
|
| Rate for Payer: Ohana Health Plan Medicaid |
$82.05
|
| Rate for Payer: Ohana Health Plan Medicare |
$75.99
|
| Rate for Payer: UnitedHealthcare Medicaid |
$82.05
|
| Rate for Payer: UnitedHealthcare Medicare |
$75.99
|
|
|
36556 CENTRAL VENOUS CATHETER PLACE>2YR HOSP P
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36556
|
| Hospital Charge Code |
8051032
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$75.99 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$82.05
|
| Rate for Payer: AlohaCare Medicare |
$75.99
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$83.59
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$170.35
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| 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 |
$181.39
|
| 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 |
$317.46
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$91.19
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$82.05
|
| Rate for Payer: Ohana Health Plan Medicare |
$75.99
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
|
|
36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee
|
Facility
|
IP
|
$5,752.00
|
|
|
Service Code
|
HCPCS 36556
|
| Hospital Charge Code |
8211304
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$4,889.20 |
| Max. Negotiated Rate |
$5,579.44 |
| Rate for Payer: Cash Price |
$3,738.80
|
| Rate for Payer: Health Management Network Commercial |
$4,889.20
|
| Rate for Payer: Kaiser Permanente Commercial |
$5,176.80
|
| Rate for Payer: MDX Hawaii PPO |
$5,579.44
|
|
|
36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee
|
Facility
|
OP
|
$5,752.00
|
|
|
Service Code
|
HCPCS 36556
|
| Hospital Charge Code |
8211304
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$5,579.44 |
| Rate for Payer: AlohaCare Medicaid |
$2,876.00
|
| Rate for Payer: AlohaCare Medicare |
$2,876.00
|
| Rate for Payer: Cash Price |
$3,738.80
|
| Rate for Payer: Cash Price |
$3,738.80
|
| Rate for Payer: Devoted Health Medicare |
$3,163.60
|
| 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 |
$2,876.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$5,464.40
|
| Rate for Payer: Health Management Network Commercial |
$4,889.20
|
| Rate for Payer: Humana Medicare |
$2,876.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$5,176.80
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$2,876.00
|
| Rate for Payer: MDX Hawaii PPO |
$5,579.44
|
| Rate for Payer: Ohana Health Plan Medicaid |
$2,876.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$2,876.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$2,876.00
|
| Rate for Payer: University Health Alliance Commercial |
$4,192.63
|
|
|
36558 INSERTION OF TUNNEL CENTRAL CATH-ER PROC
|
Professional
|
Both
|
$2,493.00
|
|
|
Service Code
|
HCPCS 36558
|
| Hospital Charge Code |
8051033
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$231.89 |
| Max. Negotiated Rate |
$2,119.05 |
| Rate for Payer: AlohaCare Medicaid |
$256.53
|
| Rate for Payer: AlohaCare Medicare |
$231.89
|
| Rate for Payer: Cash Price |
$1,620.45
|
| Rate for Payer: Cash Price |
$1,620.45
|
| Rate for Payer: Devoted Health Medicare |
$255.08
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$256.53
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$403.83
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$231.89
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$256.53
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,012.44
|
| Rate for Payer: Health Management Network Commercial |
$2,119.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$278.27
|
| Rate for Payer: Kaiser Permanente Medicaid |
$278.27
|
| Rate for Payer: Kaiser Permanente Medicare |
$278.27
|
| Rate for Payer: Ohana Health Plan Medicaid |
$256.53
|
| Rate for Payer: Ohana Health Plan Medicare |
$231.89
|
| Rate for Payer: UnitedHealthcare Medicaid |
$256.53
|
| Rate for Payer: UnitedHealthcare Medicare |
$231.89
|
|
|
36558 INSERTION OF TUNNEL CENTRAL CATH-ER PROC
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36558
|
| Hospital Charge Code |
8051033
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$256.53
|
| Rate for Payer: AlohaCare Medicare |
$231.89
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$255.08
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$403.83
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| 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 |
$181.39
|
| 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 |
$1,012.44
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$278.27
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$256.53
|
| Rate for Payer: Ohana Health Plan Medicare |
$231.89
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
|
|
36561 Insertion of tunneled centrally inserted central venous access device, w/sub port; age 5+
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36561
|
| Hospital Charge Code |
8038962
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$327.70
|
| Rate for Payer: AlohaCare Medicare |
$297.47
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$327.22
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$519.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| 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 |
$181.39
|
| 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 |
$1,358.76
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$356.96
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: Ohana Health Plan Medicaid |
$327.70
|
| Rate for Payer: Ohana Health Plan Medicare |
$297.47
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
|
|
36561 Insertion of tunneled centrally inserted central venous access device, w/sub port; age 5+
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36561
|
| Hospital Charge Code |
8038962
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$297.47 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$327.70
|
| Rate for Payer: AlohaCare Medicare |
$297.47
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$327.22
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$327.70
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$519.00
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$297.47
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$327.70
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,358.76
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$356.96
|
| Rate for Payer: Kaiser Permanente Medicaid |
$356.96
|
| Rate for Payer: Kaiser Permanente Medicare |
$356.96
|
| Rate for Payer: Ohana Health Plan Medicaid |
$327.70
|
| Rate for Payer: Ohana Health Plan Medicare |
$297.47
|
| Rate for Payer: UnitedHealthcare Medicaid |
$327.70
|
| Rate for Payer: UnitedHealthcare Medicare |
$297.47
|
|
|
36568 Insert PICC Cath < 5 Yr w/out imaging Charges
|
Facility
|
OP
|
$3,339.00
|
|
|
Service Code
|
HCPCS 36568
|
| Hospital Charge Code |
8221516
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$3,238.83 |
| Rate for Payer: AlohaCare Medicaid |
$1,669.50
|
| Rate for Payer: AlohaCare Medicare |
$1,669.50
|
| Rate for Payer: Cash Price |
$2,170.35
|
| Rate for Payer: Cash Price |
$2,170.35
|
| Rate for Payer: Cash Price |
$2,170.35
|
| Rate for Payer: Devoted Health Medicare |
$1,836.45
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$2,010.31
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,669.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$3,172.05
|
| Rate for Payer: Health Management Network Commercial |
$2,838.15
|
| Rate for Payer: Humana Medicare |
$1,669.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$3,005.10
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,702.89
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,669.50
|
| Rate for Payer: MDX Hawaii PPO |
$3,238.83
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,669.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,669.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,669.50
|
| Rate for Payer: University Health Alliance Commercial |
$1,869.84
|
|
|
36568 Insert PICC Cath < 5 Yr w/out imaging Charges
|
Facility
|
IP
|
$3,339.00
|
|
|
Service Code
|
HCPCS 36568
|
| Hospital Charge Code |
8221516
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,838.15 |
| Max. Negotiated Rate |
$3,238.83 |
| Rate for Payer: Cash Price |
$2,170.35
|
| Rate for Payer: Health Management Network Commercial |
$2,838.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$3,005.10
|
| Rate for Payer: MDX Hawaii PPO |
$3,238.83
|
|
|
36569 Insertion of PICC, without subcutaneous port or pump; age 5 years or older
|
Professional
|
Both
|
$2,191.00
|
|
|
Service Code
|
HCPCS 36569
|
| Hospital Charge Code |
8038963
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$83.36 |
| Max. Negotiated Rate |
$1,862.35 |
| Rate for Payer: AlohaCare Medicaid |
$91.61
|
| Rate for Payer: AlohaCare Medicare |
$83.36
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Devoted Health Medicare |
$91.70
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$134.61
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.49
|
| 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 |
$181.39
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$355.42
|
| Rate for Payer: Health Management Network Commercial |
$1,862.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$100.03
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| 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 Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| 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 |
$91.61
|
| Rate for Payer: Ohana Health Plan Medicare |
$83.36
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
|
|
36569-PICC Line Insertion Greater Than/Equal to 5 Years
|
Facility
|
IP
|
$3,286.00
|
|
|
Service Code
|
HCPCS 36569
|
| Hospital Charge Code |
8080197
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,793.10 |
| Max. Negotiated Rate |
$3,187.42 |
| Rate for Payer: Cash Price |
$2,135.90
|
| Rate for Payer: Health Management Network Commercial |
$2,793.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$2,957.40
|
| Rate for Payer: MDX Hawaii PPO |
$3,187.42
|
|
|
36569-PICC Line Insertion Greater Than/Equal to 5 Years
|
Facility
|
OP
|
$3,286.00
|
|
|
Service Code
|
HCPCS 36569
|
| Hospital Charge Code |
8080197
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$3,187.42 |
| Rate for Payer: AlohaCare Medicaid |
$1,643.00
|
| Rate for Payer: AlohaCare Medicare |
$1,643.00
|
| Rate for Payer: Cash Price |
$2,135.90
|
| Rate for Payer: Cash Price |
$2,135.90
|
| Rate for Payer: Devoted Health Medicare |
$1,807.30
|
| 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 |
$1,643.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$450.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$3,121.70
|
| Rate for Payer: Health Management Network Commercial |
$2,793.10
|
| Rate for Payer: Humana Medicare |
$1,643.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$2,957.40
|
| Rate for Payer: Kaiser Permanente Medicaid |
$937.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,643.00
|
| Rate for Payer: MDX Hawaii PPO |
$3,187.42
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,643.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,643.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,643.00
|
| Rate for Payer: University Health Alliance Commercial |
$2,395.17
|
|
|
36571 Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36571
|
| Hospital Charge Code |
8118465
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$291.56 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$309.32
|
| Rate for Payer: AlohaCare Medicare |
$291.56
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$320.72
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$309.32
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$489.74
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$291.56
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$309.32
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,399.06
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$349.87
|
| Rate for Payer: Kaiser Permanente Medicaid |
$349.87
|
| Rate for Payer: Kaiser Permanente Medicare |
$349.87
|
| Rate for Payer: Ohana Health Plan Medicaid |
$309.32
|
| Rate for Payer: Ohana Health Plan Medicare |
$291.56
|
| Rate for Payer: UnitedHealthcare Medicaid |
$309.32
|
| Rate for Payer: UnitedHealthcare Medicare |
$291.56
|
|
|
36571 Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5
|
Professional
|
Both
|
$4,394.00
|
|
|
Service Code
|
HCPCS 36571
|
| Hospital Charge Code |
8118465
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$3,734.90 |
| Rate for Payer: AlohaCare Medicaid |
$309.32
|
| Rate for Payer: AlohaCare Medicare |
$291.56
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Cash Price |
$2,856.10
|
| Rate for Payer: Devoted Health Medicare |
$320.72
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$489.74
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$265.97
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$237.64
|
| 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 |
$181.39
|
| 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 |
$1,399.06
|
| Rate for Payer: Health Management Network Commercial |
$3,734.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$349.87
|
| Rate for Payer: Kaiser Permanente Commercial |
$181.39
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$181.39
|
| Rate for Payer: Kaiser Permanente Medicare |
$237.64
|
| 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: Kaiser Permanente Medicare |
$209.49
|
| Rate for Payer: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$309.32
|
| Rate for Payer: Ohana Health Plan Medicare |
$291.56
|
| 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 |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
|
|
36573 INSERT CENTRAL VENOUS CATH. (INFUSION/IMAGING GUIDANCE) 5 YEARS OR > ProFee
|
Professional
|
Both
|
$2,191.00
|
|
|
Service Code
|
HCPCS 36573
|
| Hospital Charge Code |
10337354
|
|
Hospital Revenue Code
|
987
|
| Min. Negotiated Rate |
$71.08 |
| Max. Negotiated Rate |
$1,862.35 |
| Rate for Payer: AlohaCare Medicaid |
$81.56
|
| Rate for Payer: AlohaCare Medicare |
$71.08
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Devoted Health Medicare |
$78.19
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$81.56
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$137.78
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$71.08
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$81.56
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$88.92
|
| Rate for Payer: Health Management Network Commercial |
$1,862.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$85.30
|
| Rate for Payer: Kaiser Permanente Medicaid |
$85.30
|
| Rate for Payer: Kaiser Permanente Medicare |
$85.30
|
| Rate for Payer: Ohana Health Plan Medicaid |
$81.56
|
| Rate for Payer: Ohana Health Plan Medicare |
$71.08
|
| Rate for Payer: UnitedHealthcare Medicaid |
$81.56
|
| Rate for Payer: UnitedHealthcare Medicare |
$71.08
|
| Rate for Payer: University Health Alliance Commercial |
$109.52
|
|
|
36573 INSERTION OF PICC, W/O SUBCUTANEOUS PORT OR PUMP TechFee
|
Facility
|
IP
|
$3,667.00
|
|
|
Service Code
|
HCPCS 36573
|
| Hospital Charge Code |
8703514
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$3,116.95 |
| Max. Negotiated Rate |
$3,556.99 |
| Rate for Payer: Cash Price |
$2,383.55
|
| Rate for Payer: Health Management Network Commercial |
$3,116.95
|
| Rate for Payer: Kaiser Permanente Commercial |
$3,300.30
|
| Rate for Payer: MDX Hawaii PPO |
$3,556.99
|
|
|
36573 INSERTION OF PICC, W/O SUBCUTANEOUS PORT OR PUMP TechFee
|
Facility
|
OP
|
$3,667.00
|
|
|
Service Code
|
HCPCS 36573
|
| Hospital Charge Code |
8703514
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$456.03 |
| Max. Negotiated Rate |
$3,556.99 |
| Rate for Payer: AlohaCare Medicaid |
$1,833.50
|
| Rate for Payer: AlohaCare Medicare |
$1,833.50
|
| Rate for Payer: Cash Price |
$2,383.55
|
| Rate for Payer: Cash Price |
$2,383.55
|
| Rate for Payer: Cash Price |
$2,383.55
|
| Rate for Payer: Devoted Health Medicare |
$2,016.85
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$2,010.31
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,833.50
|
| Rate for Payer: Health Management Network Commercial |
$3,116.95
|
| Rate for Payer: Humana Medicare |
$1,833.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$3,300.30
|
| Rate for Payer: Kaiser Permanente Medicaid |
$2,837.00
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,833.50
|
| Rate for Payer: MDX Hawaii PPO |
$3,556.99
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,833.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,833.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,833.50
|
| Rate for Payer: University Health Alliance Commercial |
$2,053.52
|
|
|
36573 INSERT PICC W/RS&I 5 YR/> CHARGE
|
Facility
|
IP
|
$3,014.00
|
|
|
Service Code
|
HCPCS 36573
|
| Hospital Charge Code |
9303846
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,561.90 |
| Max. Negotiated Rate |
$2,923.58 |
| Rate for Payer: Cash Price |
$1,959.10
|
| Rate for Payer: Health Management Network Commercial |
$2,561.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$2,712.60
|
| Rate for Payer: MDX Hawaii PPO |
$2,923.58
|
|
|
36573 INSERT PICC W/RS&I 5 YR/> CHARGE
|
Facility
|
OP
|
$3,014.00
|
|
|
Service Code
|
HCPCS 36573
|
| Hospital Charge Code |
9303846
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$456.03 |
| Max. Negotiated Rate |
$2,923.58 |
| Rate for Payer: AlohaCare Medicaid |
$1,507.00
|
| Rate for Payer: AlohaCare Medicare |
$1,507.00
|
| Rate for Payer: Cash Price |
$1,959.10
|
| Rate for Payer: Cash Price |
$1,959.10
|
| Rate for Payer: Cash Price |
$1,959.10
|
| Rate for Payer: Devoted Health Medicare |
$1,657.70
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$2,010.31
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,507.00
|
| Rate for Payer: Health Management Network Commercial |
$2,561.90
|
| Rate for Payer: Humana Medicare |
$1,507.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$2,712.60
|
| Rate for Payer: Kaiser Permanente Medicaid |
$2,837.00
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,507.00
|
| Rate for Payer: MDX Hawaii PPO |
$2,923.58
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,507.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,507.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$456.03
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,507.00
|
| Rate for Payer: University Health Alliance Commercial |
$1,687.84
|
|
|
36575 Repair tunneled/non-tunneled central cath, w/o subcut port/pump, central/periph insert site
|
Professional
|
Both
|
$873.00
|
|
|
Service Code
|
HCPCS 36575
|
| Hospital Charge Code |
8038964
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$29.52 |
| Max. Negotiated Rate |
$742.05 |
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: AlohaCare Medicaid |
$32.79
|
| Rate for Payer: AlohaCare Medicare |
$29.52
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Cash Price |
$567.45
|
| Rate for Payer: Devoted Health Medicare |
$32.47
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$52.38
|
| 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 |
$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 Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$742.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$35.42
|
| 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 Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| 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 |
$32.79
|
| Rate for Payer: Ohana Health Plan Medicare |
$29.52
|
| 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 |
$44.17
|
|
|
36576 Repair of central venous access device, w/ subcutaneous port/pump, central/periph insert site
|
Professional
|
Both
|
$2,191.00
|
|
|
Service Code
|
HCPCS 36576
|
| Hospital Charge Code |
8038965
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$170.08 |
| Max. Negotiated Rate |
$1,862.35 |
| Rate for Payer: AlohaCare Medicaid |
$181.70
|
| Rate for Payer: AlohaCare Medicare |
$170.08
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Devoted Health Medicare |
$187.09
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$181.70
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$288.29
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$170.08
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$181.70
|
| Rate for Payer: Health Management Network Commercial |
$1,862.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$204.10
|
| Rate for Payer: Kaiser Permanente Medicaid |
$204.10
|
| Rate for Payer: Kaiser Permanente Medicare |
$204.10
|
| Rate for Payer: Ohana Health Plan Medicaid |
$181.70
|
| Rate for Payer: Ohana Health Plan Medicare |
$170.08
|
| Rate for Payer: UnitedHealthcare Medicaid |
$181.70
|
| Rate for Payer: UnitedHealthcare Medicare |
$170.08
|
| Rate for Payer: University Health Alliance Commercial |
$244.08
|
|
|
36576 Repair of central venous access device, w/ subcutaneous port/pump, central/periph insert site
|
Professional
|
Both
|
$2,191.00
|
|
|
Service Code
|
HCPCS 36576
|
| Hospital Charge Code |
8038965
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$170.08 |
| Max. Negotiated Rate |
$1,862.35 |
| Rate for Payer: AlohaCare Medicaid |
$181.70
|
| Rate for Payer: AlohaCare Medicare |
$170.08
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Cash Price |
$1,424.15
|
| Rate for Payer: Devoted Health Medicare |
$187.09
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$288.29
|
| 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 |
$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 Medicare |
$209.49
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$1,862.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$204.10
|
| 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 |
$303.73
|
| 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 |
$181.70
|
| Rate for Payer: Ohana Health Plan Medicare |
$170.08
|
| 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 |
$244.08
|
|
