|
49614 RPR OF ANTERIOR ABD HERN(S), ANY APPR,RECURRENT,MESH OR OTHR, < 3CM INCARCERATE/STRANGULATED
|
Professional
|
Both
|
$2,200.00
|
|
|
Service Code
|
HCPCS 49614
|
| Hospital Charge Code |
10602935
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$501.50 |
| Max. Negotiated Rate |
$1,870.00 |
| Rate for Payer: AlohaCare Medicaid |
$553.48
|
| Rate for Payer: AlohaCare Medicare |
$501.50
|
| Rate for Payer: Cash Price |
$1,430.00
|
| Rate for Payer: Cash Price |
$1,430.00
|
| Rate for Payer: Devoted Health Medicare |
$551.65
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$501.50
|
| Rate for Payer: Health Management Network Commercial |
$1,870.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$601.80
|
| Rate for Payer: Kaiser Permanente Medicaid |
$601.80
|
| Rate for Payer: Kaiser Permanente Medicare |
$601.80
|
| Rate for Payer: Ohana Health Plan Medicaid |
$553.48
|
| Rate for Payer: Ohana Health Plan Medicare |
$501.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$553.48
|
| Rate for Payer: UnitedHealthcare Medicare |
$501.50
|
|
|
49615 RPR OF ANT ABDOM HERNIA(S), ANY APPR,RECURR, INCLU IMPLNT OF MESH OR OTHR, 3-10CM, REDUCIBLE
|
Professional
|
Both
|
$2,900.00
|
|
|
Service Code
|
HCPCS 49615
|
| Hospital Charge Code |
10602937
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$558.49 |
| Max. Negotiated Rate |
$2,465.00 |
| Rate for Payer: AlohaCare Medicaid |
$619.06
|
| Rate for Payer: AlohaCare Medicare |
$558.49
|
| Rate for Payer: Cash Price |
$1,885.00
|
| Rate for Payer: Cash Price |
$1,885.00
|
| Rate for Payer: Devoted Health Medicare |
$614.34
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$558.49
|
| Rate for Payer: Health Management Network Commercial |
$2,465.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$670.19
|
| Rate for Payer: Kaiser Permanente Medicaid |
$670.19
|
| Rate for Payer: Kaiser Permanente Medicare |
$670.19
|
| Rate for Payer: Ohana Health Plan Medicaid |
$619.06
|
| Rate for Payer: Ohana Health Plan Medicare |
$558.49
|
| Rate for Payer: UnitedHealthcare Medicaid |
$619.06
|
| Rate for Payer: UnitedHealthcare Medicare |
$558.49
|
|
|
49616 RPR OF ANTERIOR ABD HERN(S), ANY APPR,IRECURR,MESH OR OTHR, 3-10CM INCARCERATE/STRANGULATED
|
Facility
|
IP
|
$917.00
|
|
|
Service Code
|
HCPCS 49616
|
| Hospital Charge Code |
10602938
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$779.45 |
| Max. Negotiated Rate |
$889.49 |
| Rate for Payer: Cash Price |
$596.05
|
| Rate for Payer: Health Management Network Commercial |
$779.45
|
| Rate for Payer: Kaiser Permanente Commercial |
$825.30
|
| Rate for Payer: MDX Hawaii PPO |
$889.49
|
|
|
49616 RPR OF ANTERIOR ABD HERN(S), ANY APPR,IRECURR,MESH OR OTHR, 3-10CM INCARCERATE/STRANGULATED
|
Professional
|
Both
|
$1,039.00
|
|
|
Service Code
|
HCPCS 49616
|
| Hospital Charge Code |
10602938
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$747.57 |
| Max. Negotiated Rate |
$897.08 |
| Rate for Payer: AlohaCare Medicaid |
$829.51
|
| Rate for Payer: AlohaCare Medicare |
$747.57
|
| Rate for Payer: Cash Price |
$675.35
|
| Rate for Payer: Cash Price |
$675.35
|
| Rate for Payer: Devoted Health Medicare |
$822.33
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$747.57
|
| Rate for Payer: Health Management Network Commercial |
$883.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$897.08
|
| Rate for Payer: Kaiser Permanente Medicaid |
$897.08
|
| Rate for Payer: Kaiser Permanente Medicare |
$897.08
|
| Rate for Payer: Ohana Health Plan Medicaid |
$829.51
|
| Rate for Payer: Ohana Health Plan Medicare |
$747.57
|
| Rate for Payer: UnitedHealthcare Medicaid |
$829.51
|
| Rate for Payer: UnitedHealthcare Medicare |
$747.57
|
|
|
49616 RPR OF ANTERIOR ABD HERN(S), ANY APPR,IRECURR,MESH OR OTHR, 3-10CM INCARCERATE/STRANGULATED
|
Facility
|
OP
|
$917.00
|
|
|
Service Code
|
HCPCS 49616
|
| Hospital Charge Code |
10602938
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$458.50 |
| Max. Negotiated Rate |
$10,679.55 |
| Rate for Payer: AlohaCare Medicaid |
$458.50
|
| Rate for Payer: AlohaCare Medicare |
$458.50
|
| Rate for Payer: Cash Price |
$596.05
|
| Rate for Payer: Cash Price |
$596.05
|
| Rate for Payer: Devoted Health Medicare |
$504.35
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$458.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$871.15
|
| Rate for Payer: Health Management Network Commercial |
$779.45
|
| Rate for Payer: Humana Medicare |
$458.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$825.30
|
| Rate for Payer: Kaiser Permanente Medicaid |
$467.67
|
| Rate for Payer: Kaiser Permanente Medicare |
$458.50
|
| Rate for Payer: MDX Hawaii PPO |
$889.49
|
| Rate for Payer: Ohana Health Plan Medicaid |
$458.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$458.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$521.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$458.50
|
| Rate for Payer: University Health Alliance Commercial |
$10,679.55
|
|
|
49617 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,RECUR,IMPLANT OF MESH OR OTHR, > 3CM,REDUCIBLE
|
Professional
|
Both
|
$1,073.00
|
|
|
Service Code
|
HCPCS 49617
|
| Hospital Charge Code |
10602939
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$772.97 |
| Max. Negotiated Rate |
$927.56 |
| Rate for Payer: AlohaCare Medicaid |
$856.76
|
| Rate for Payer: AlohaCare Medicare |
$772.97
|
| Rate for Payer: Cash Price |
$697.45
|
| Rate for Payer: Cash Price |
$697.45
|
| Rate for Payer: Devoted Health Medicare |
$850.27
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$772.97
|
| Rate for Payer: Health Management Network Commercial |
$912.05
|
| Rate for Payer: Kaiser Permanente Commercial |
$927.56
|
| Rate for Payer: Kaiser Permanente Medicaid |
$927.56
|
| Rate for Payer: Kaiser Permanente Medicare |
$927.56
|
| Rate for Payer: Ohana Health Plan Medicaid |
$856.76
|
| Rate for Payer: Ohana Health Plan Medicare |
$772.97
|
| Rate for Payer: UnitedHealthcare Medicaid |
$856.76
|
| Rate for Payer: UnitedHealthcare Medicare |
$772.97
|
|
|
49617 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,RECUR,IMPLANT OF MESH OR OTHR, > 3CM,REDUCIBLE
|
Facility
|
OP
|
$946.00
|
|
|
Service Code
|
HCPCS 49617
|
| Hospital Charge Code |
10602939
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$473.00 |
| Max. Negotiated Rate |
$917.62 |
| Rate for Payer: AlohaCare Medicaid |
$473.00
|
| Rate for Payer: AlohaCare Medicare |
$473.00
|
| Rate for Payer: Cash Price |
$614.90
|
| Rate for Payer: Cash Price |
$614.90
|
| Rate for Payer: Devoted Health Medicare |
$520.30
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$473.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$898.70
|
| Rate for Payer: Health Management Network Commercial |
$804.10
|
| Rate for Payer: Humana Medicare |
$473.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$851.40
|
| Rate for Payer: Kaiser Permanente Medicaid |
$482.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$473.00
|
| Rate for Payer: MDX Hawaii PPO |
$917.62
|
| Rate for Payer: Ohana Health Plan Medicaid |
$473.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$473.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$521.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$473.00
|
| Rate for Payer: University Health Alliance Commercial |
$529.76
|
|
|
49617 RPR OF ANTERIOR ABD HERNIA(S), ANY APPROACH,RECUR,IMPLANT OF MESH OR OTHR, > 3CM,REDUCIBLE
|
Facility
|
IP
|
$946.00
|
|
|
Service Code
|
HCPCS 49617
|
| Hospital Charge Code |
10602939
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$804.10 |
| Max. Negotiated Rate |
$917.62 |
| Rate for Payer: Cash Price |
$614.90
|
| Rate for Payer: Health Management Network Commercial |
$804.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$851.40
|
| Rate for Payer: MDX Hawaii PPO |
$917.62
|
|
|
49618 RPR OF ANTERIOR ABD HERN(S), ANY APPR,RECUR,MESH OR OTHR, > 3CM INCARCERATE/STRANGULATED
|
Facility
|
IP
|
$1,323.00
|
|
|
Service Code
|
HCPCS 49618
|
| Hospital Charge Code |
10602940
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$1,124.55 |
| Max. Negotiated Rate |
$1,283.31 |
| Rate for Payer: Cash Price |
$859.95
|
| Rate for Payer: Health Management Network Commercial |
$1,124.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,190.70
|
| Rate for Payer: MDX Hawaii PPO |
$1,283.31
|
|
|
49618 RPR OF ANTERIOR ABD HERN(S), ANY APPR,RECUR,MESH OR OTHR, > 3CM INCARCERATE/STRANGULATED
|
Facility
|
OP
|
$1,323.00
|
|
|
Service Code
|
HCPCS 49618
|
| Hospital Charge Code |
10602940
|
|
Hospital Revenue Code
|
750
|
| Min. Negotiated Rate |
$521.33 |
| Max. Negotiated Rate |
$1,283.31 |
| Rate for Payer: AlohaCare Medicaid |
$661.50
|
| Rate for Payer: AlohaCare Medicare |
$661.50
|
| Rate for Payer: Cash Price |
$859.95
|
| Rate for Payer: Cash Price |
$859.95
|
| Rate for Payer: Devoted Health Medicare |
$727.65
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$661.50
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,256.85
|
| Rate for Payer: Health Management Network Commercial |
$1,124.55
|
| Rate for Payer: Humana Medicare |
$661.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,190.70
|
| Rate for Payer: Kaiser Permanente Medicaid |
$674.73
|
| Rate for Payer: Kaiser Permanente Medicare |
$661.50
|
| Rate for Payer: MDX Hawaii PPO |
$1,283.31
|
| Rate for Payer: Ohana Health Plan Medicaid |
$661.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$661.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$521.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$661.50
|
| Rate for Payer: University Health Alliance Commercial |
$740.88
|
|
|
49618 RPR OF ANTERIOR ABD HERN(S), ANY APPR,RECUR,MESH OR OTHR, > 3CM INCARCERATE/STRANGULATED
|
Professional
|
Both
|
$1,500.00
|
|
|
Service Code
|
HCPCS 49618
|
| Hospital Charge Code |
10602940
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$1,079.48 |
| Max. Negotiated Rate |
$1,295.38 |
| Rate for Payer: AlohaCare Medicaid |
$1,197.34
|
| Rate for Payer: AlohaCare Medicare |
$1,079.48
|
| Rate for Payer: Cash Price |
$975.00
|
| Rate for Payer: Cash Price |
$975.00
|
| Rate for Payer: Devoted Health Medicare |
$1,187.43
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,079.48
|
| Rate for Payer: Health Management Network Commercial |
$1,275.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,295.38
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,295.38
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,295.38
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,197.34
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,079.48
|
| Rate for Payer: UnitedHealthcare Medicaid |
$1,197.34
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,079.48
|
|
|
49623- removal noninfected mesh hernia repair
|
Professional
|
Both
|
$282.00
|
|
|
Service Code
|
HCPCS 49623
|
| Hospital Charge Code |
11795437
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$174.80 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$190.83
|
| Rate for Payer: AlohaCare Medicare |
$174.80
|
| Rate for Payer: Cash Price |
$183.30
|
| Rate for Payer: Cash Price |
$183.30
|
| Rate for Payer: Cash Price |
$183.30
|
| Rate for Payer: Devoted Health Medicare |
$192.28
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$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 |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$239.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.76
|
| 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 |
$190.83
|
| Rate for Payer: Ohana Health Plan Medicare |
$174.80
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
|
|
49623 Removal of total or near total non-infected mesh or other
|
Professional
|
Both
|
$286.00
|
|
|
Service Code
|
HCPCS 49623
|
| Hospital Charge Code |
11780246
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$174.80 |
| Max. Negotiated Rate |
$243.10 |
| Rate for Payer: AlohaCare Medicaid |
$190.83
|
| Rate for Payer: AlohaCare Medicare |
$174.80
|
| Rate for Payer: Cash Price |
$185.90
|
| Rate for Payer: Cash Price |
$185.90
|
| Rate for Payer: Devoted Health Medicare |
$192.28
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$174.80
|
| Rate for Payer: Health Management Network Commercial |
$243.10
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.76
|
| Rate for Payer: Kaiser Permanente Medicaid |
$209.76
|
| Rate for Payer: Kaiser Permanente Medicare |
$209.76
|
| Rate for Payer: Ohana Health Plan Medicaid |
$190.83
|
| Rate for Payer: Ohana Health Plan Medicare |
$174.80
|
| Rate for Payer: UnitedHealthcare Medicaid |
$190.83
|
| Rate for Payer: UnitedHealthcare Medicare |
$174.80
|
|
|
49650 Laparoscopy, surgical; repair initial inguinal hernia
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49650
|
| Hospital Charge Code |
8039605
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,151.90 |
| Rate for Payer: AlohaCare Medicaid |
$438.75
|
| Rate for Payer: AlohaCare Medicare |
$423.56
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Devoted Health Medicare |
$465.92
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$398.58
|
| Rate for Payer: Health Management Network Commercial |
$7,151.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$508.27
|
| 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 |
$438.75
|
| Rate for Payer: Ohana Health Plan Medicare |
$423.56
|
| 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
|
|
|
49650 Laparoscopy, surgical; repair initial inguinal hernia
|
Professional
|
Both
|
$1,160.00
|
|
|
Service Code
|
HCPCS 49650
|
| Hospital Charge Code |
8039605
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$398.58 |
| Max. Negotiated Rate |
$986.00 |
| Rate for Payer: AlohaCare Medicaid |
$438.75
|
| Rate for Payer: AlohaCare Medicare |
$423.56
|
| Rate for Payer: Cash Price |
$754.00
|
| Rate for Payer: Cash Price |
$754.00
|
| Rate for Payer: Devoted Health Medicare |
$465.92
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$423.56
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$398.58
|
| Rate for Payer: Health Management Network Commercial |
$986.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$508.27
|
| Rate for Payer: Kaiser Permanente Medicaid |
$508.27
|
| Rate for Payer: Kaiser Permanente Medicare |
$508.27
|
| Rate for Payer: Ohana Health Plan Medicaid |
$438.75
|
| Rate for Payer: Ohana Health Plan Medicare |
$423.56
|
| Rate for Payer: UnitedHealthcare Medicaid |
$438.75
|
| Rate for Payer: UnitedHealthcare Medicare |
$423.56
|
|
|
49651 Laparoscopy, surgical; repair recurrent inguinal hernia
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49651
|
| Hospital Charge Code |
8039606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,151.90 |
| Rate for Payer: AlohaCare Medicaid |
$571.54
|
| Rate for Payer: AlohaCare Medicare |
$548.02
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Devoted Health Medicare |
$602.82
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$509.60
|
| Rate for Payer: Health Management Network Commercial |
$7,151.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$657.62
|
| 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 |
$571.54
|
| Rate for Payer: Ohana Health Plan Medicare |
$548.02
|
| 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
|
|
|
49653 Laparoscopy, surgical, repair, vent/umbil/spige/epigas hernia; incarcerated or strangulated
|
Professional
|
Both
|
$9,010.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
8039608
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$502.59 |
| Max. Negotiated Rate |
$7,658.50 |
| Rate for Payer: AlohaCare Medicaid |
$554.95
|
| Rate for Payer: AlohaCare Medicare |
$502.59
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Devoted Health Medicare |
$552.85
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$502.59
|
| Rate for Payer: Health Management Network Commercial |
$7,658.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$603.11
|
| Rate for Payer: Kaiser Permanente Medicaid |
$603.11
|
| Rate for Payer: Kaiser Permanente Medicare |
$603.11
|
| Rate for Payer: Ohana Health Plan Medicaid |
$554.95
|
| Rate for Payer: Ohana Health Plan Medicare |
$502.59
|
| Rate for Payer: UnitedHealthcare Medicaid |
$554.95
|
| Rate for Payer: UnitedHealthcare Medicare |
$502.59
|
|
|
49653 Laparoscopy, surgical, repair, vent/umbil/spige/epigas hernia; incarcerated or strangulated
|
Professional
|
Both
|
$9,010.00
|
|
|
Service Code
|
HCPCS 49593
|
| Hospital Charge Code |
8039608
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,658.50 |
| Rate for Payer: AlohaCare Medicaid |
$554.95
|
| Rate for Payer: AlohaCare Medicare |
$502.59
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Devoted Health Medicare |
$552.85
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$246.64
|
| 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 Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$7,658.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$603.11
|
| 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 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 |
$209.49
|
| 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 |
$246.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$554.95
|
| Rate for Payer: Ohana Health Plan Medicare |
$502.59
|
| 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
|
|
|
49655 Laparoscopy, surgical, repair, incisional hernia ;incarcerated or strangulated
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49592
|
| Hospital Charge Code |
8039610
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,151.90 |
| Rate for Payer: AlohaCare Medicaid |
$460.99
|
| Rate for Payer: AlohaCare Medicare |
$418.73
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Devoted Health Medicare |
$460.60
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$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 |
$303.73
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$339.46
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$7,151.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$502.48
|
| 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 |
$460.99
|
| Rate for Payer: Ohana Health Plan Medicare |
$418.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
|
|
49656 Laparoscopy, surgical, repair, recurrent incisional hernia; reductible
|
Professional
|
Both
|
$4,983.00
|
|
|
Service Code
|
HCPCS 49613
|
| Hospital Charge Code |
8039611
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$4,235.55 |
| Rate for Payer: AlohaCare Medicaid |
$410.64
|
| Rate for Payer: AlohaCare Medicare |
$372.40
|
| Rate for Payer: Cash Price |
$3,238.95
|
| Rate for Payer: Cash Price |
$3,238.95
|
| Rate for Payer: Cash Price |
$3,238.95
|
| Rate for Payer: Devoted Health Medicare |
$409.64
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$246.64
|
| 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 Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$4,235.55
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$446.88
|
| 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 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 |
$209.49
|
| 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 |
$246.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$410.64
|
| Rate for Payer: Ohana Health Plan Medicare |
$372.40
|
| 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
|
|
|
49657 Laparoscopy, surgical, repair, recurrent incisional hernia; incarcerated or strangulated
|
Professional
|
Both
|
$9,010.00
|
|
|
Service Code
|
HCPCS 49615
|
| Hospital Charge Code |
8039612
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$7,658.50 |
| Rate for Payer: AlohaCare Medicaid |
$619.06
|
| Rate for Payer: AlohaCare Medicare |
$558.49
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Cash Price |
$5,856.50
|
| Rate for Payer: Devoted Health Medicare |
$614.34
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$246.64
|
| 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 Medicare |
$237.64
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$434.26
|
| Rate for Payer: Health Management Network Commercial |
$7,658.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$670.19
|
| 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 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 |
$209.49
|
| 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 |
$246.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$619.06
|
| Rate for Payer: Ohana Health Plan Medicare |
$558.49
|
| 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 |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
|
|
49659 UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY ProFee
|
Professional
|
Both
|
$8,414.00
|
|
|
Service Code
|
HCPCS 49659
|
| Hospital Charge Code |
8020446
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$7,151.90 |
| Max. Negotiated Rate |
$7,151.90 |
| Rate for Payer: Cash Price |
$5,469.10
|
| Rate for Payer: Health Management Network Commercial |
$7,151.90
|
|
|
49900 Suture, secondary, of abdominal wall for evisceration or dehiscence
|
Professional
|
Both
|
$2,225.00
|
|
|
Service Code
|
HCPCS 49900
|
| Hospital Charge Code |
8039614
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$1,891.25 |
| Rate for Payer: AlohaCare Medicaid |
$831.15
|
| Rate for Payer: AlohaCare Medicare |
$797.90
|
| Rate for Payer: Cash Price |
$1,446.25
|
| Rate for Payer: Cash Price |
$1,446.25
|
| Rate for Payer: Cash Price |
$1,446.25
|
| Rate for Payer: Devoted Health Medicare |
$877.69
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$222.82
|
| Rate for Payer: Health Management Network Commercial |
$1,891.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$957.48
|
| 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 |
$831.15
|
| Rate for Payer: Ohana Health Plan Medicare |
$797.90
|
| 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
|
|
|
49905 Omental flap, intra-abdominal
|
Professional
|
Both
|
$955.00
|
|
|
Service Code
|
HCPCS 49905
|
| Hospital Charge Code |
8039615
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$811.75 |
| Rate for Payer: AlohaCare Medicaid |
$338.46
|
| Rate for Payer: AlohaCare Medicare |
$301.34
|
| Rate for Payer: Cash Price |
$620.75
|
| Rate for Payer: Cash Price |
$620.75
|
| Rate for Payer: Cash Price |
$620.75
|
| Rate for Payer: Devoted Health Medicare |
$331.47
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$434.26
|
| 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 |
$292.24
|
| Rate for Payer: Health Management Network Commercial |
$811.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$361.61
|
| 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 |
$338.46
|
| Rate for Payer: Ohana Health Plan Medicare |
$301.34
|
| 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
|
|
|
49999 ABDOMINAL WALL SUTURE
|
Professional
|
Both
|
$1,029.00
|
|
|
Service Code
|
HCPCS 49999
|
| Hospital Charge Code |
8051056
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$695.22 |
| Max. Negotiated Rate |
$874.65 |
| Rate for Payer: AlohaCare Medicaid |
$695.22
|
| Rate for Payer: Cash Price |
$668.85
|
| Rate for Payer: Cash Price |
$668.85
|
| Rate for Payer: Health Management Network Commercial |
$874.65
|
| Rate for Payer: Ohana Health Plan Medicaid |
$695.22
|
| Rate for Payer: UnitedHealthcare Medicaid |
$695.22
|
|
