|
93272 External patient and, when performed, auto activated electrocardiographic rhythm derived event
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 93272
|
| Hospital Charge Code |
8040660
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$24.19 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$24.19
|
| Rate for Payer: AlohaCare Medicare |
$24.26
|
| Rate for Payer: Cash Price |
$48.10
|
| Rate for Payer: Cash Price |
$48.10
|
| Rate for Payer: Cash Price |
$48.10
|
| Rate for Payer: Devoted Health Medicare |
$26.69
|
| 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 |
$33.14
|
| Rate for Payer: Health Management Network Commercial |
$62.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$29.11
|
| 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 |
$24.19
|
| Rate for Payer: Ohana Health Plan Medicare |
$24.26
|
| 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
|
|
|
93278 Signal-averaged electrocardiography (SAECG), with or without ECG
|
Professional
|
Both
|
$108.00
|
|
|
Service Code
|
HCPCS 93278
|
| Hospital Charge Code |
8040661
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$34.70 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$34.70
|
| Rate for Payer: AlohaCare Medicare |
$36.13
|
| Rate for Payer: Cash Price |
$70.20
|
| Rate for Payer: Cash Price |
$70.20
|
| Rate for Payer: Cash Price |
$70.20
|
| Rate for Payer: Devoted Health Medicare |
$39.74
|
| 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 |
$52.88
|
| Rate for Payer: Health Management Network Commercial |
$91.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$43.36
|
| 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 |
$34.70
|
| Rate for Payer: Ohana Health Plan Medicare |
$36.13
|
| 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
|
|
|
93303 Echo Transthoracic Charge
|
Facility
|
OP
|
$2,795.00
|
|
|
Service Code
|
HCPCS 93303
|
| Hospital Charge Code |
8220549
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$127.90 |
| Max. Negotiated Rate |
$2,711.15 |
| Rate for Payer: AlohaCare Medicaid |
$1,397.50
|
| Rate for Payer: AlohaCare Medicare |
$1,397.50
|
| Rate for Payer: Cash Price |
$1,816.75
|
| Rate for Payer: Cash Price |
$1,816.75
|
| Rate for Payer: Devoted Health Medicare |
$1,537.25
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$127.90
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$697.81
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,397.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$134.30
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$2,655.25
|
| Rate for Payer: Health Management Network Commercial |
$2,375.75
|
| Rate for Payer: Humana Medicare |
$1,397.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$2,515.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,425.45
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,397.50
|
| Rate for Payer: MDX Hawaii PPO |
$2,711.15
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,397.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,397.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$127.90
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,397.50
|
| Rate for Payer: University Health Alliance Commercial |
$1,565.20
|
|
|
93303 Echo Transthoracic Charge
|
Facility
|
IP
|
$2,795.00
|
|
|
Service Code
|
HCPCS 93303
|
| Hospital Charge Code |
8220549
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$2,375.75 |
| Max. Negotiated Rate |
$2,711.15 |
| Rate for Payer: Cash Price |
$1,816.75
|
| Rate for Payer: Health Management Network Commercial |
$2,375.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$2,515.50
|
| Rate for Payer: MDX Hawaii PPO |
$2,711.15
|
|
|
93306 Echo, transthoracic, w/ image, includes M-mode, with spectral Doppler, w/ color flow Doppler
|
Professional
|
Both
|
$816.00
|
|
|
Service Code
|
HCPCS 93306
|
| Hospital Charge Code |
8040682
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$693.60 |
| Rate for Payer: AlohaCare Medicaid |
$216.47
|
| Rate for Payer: AlohaCare Medicare |
$215.69
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Devoted Health Medicare |
$237.26
|
| 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 |
$270.09
|
| Rate for Payer: Health Management Network Commercial |
$693.60
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$258.83
|
| 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 |
$216.47
|
| Rate for Payer: Ohana Health Plan Medicare |
$215.69
|
| 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
|
|
|
93307 Echo, transthoracic, real-time with image, includes M-mode, w/o spectral or color Doppler
|
Professional
|
Both
|
$508.00
|
|
|
Service Code
|
HCPCS 93307
|
| Hospital Charge Code |
8040684
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$150.89 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$150.89
|
| Rate for Payer: AlohaCare Medicare |
$151.79
|
| Rate for Payer: Cash Price |
$330.20
|
| Rate for Payer: Cash Price |
$330.20
|
| Rate for Payer: Cash Price |
$330.20
|
| Rate for Payer: Devoted Health Medicare |
$166.97
|
| 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 |
$212.77
|
| Rate for Payer: Health Management Network Commercial |
$431.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$182.15
|
| 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 |
$150.89
|
| Rate for Payer: Ohana Health Plan Medicare |
$151.79
|
| 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
|
|
|
93307 Echo T-Thoracic 2D Compl Charge
|
Facility
|
IP
|
$1,450.00
|
|
|
Service Code
|
HCPCS 93307
|
| Hospital Charge Code |
8220581
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$1,232.50 |
| Max. Negotiated Rate |
$1,406.50 |
| Rate for Payer: Cash Price |
$942.50
|
| Rate for Payer: Health Management Network Commercial |
$1,232.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,305.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,406.50
|
|
|
93307 Echo T-Thoracic 2D Compl Charge
|
Facility
|
OP
|
$1,450.00
|
|
|
Service Code
|
HCPCS 93307
|
| Hospital Charge Code |
8220581
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$127.90 |
| Max. Negotiated Rate |
$1,406.50 |
| Rate for Payer: AlohaCare Medicaid |
$725.00
|
| Rate for Payer: AlohaCare Medicare |
$725.00
|
| Rate for Payer: Cash Price |
$942.50
|
| Rate for Payer: Cash Price |
$942.50
|
| Rate for Payer: Devoted Health Medicare |
$797.50
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$127.90
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$304.71
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$725.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$134.30
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,377.50
|
| Rate for Payer: Health Management Network Commercial |
$1,232.50
|
| Rate for Payer: Humana Medicare |
$725.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,305.00
|
| Rate for Payer: Kaiser Permanente Medicaid |
$739.50
|
| Rate for Payer: Kaiser Permanente Medicare |
$725.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,406.50
|
| Rate for Payer: Ohana Health Plan Medicaid |
$725.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$725.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$127.90
|
| Rate for Payer: UnitedHealthcare Medicare |
$725.00
|
| Rate for Payer: University Health Alliance Commercial |
$812.00
|
|
|
93308 Echo, transthoracic, w/ image, includes M-mode, follow-up or limited study
|
Professional
|
Both
|
$329.00
|
|
|
Service Code
|
HCPCS 93308
|
| Hospital Charge Code |
8040685
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$80.16 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$109.80
|
| Rate for Payer: AlohaCare Medicare |
$111.94
|
| Rate for Payer: Cash Price |
$213.85
|
| Rate for Payer: Cash Price |
$213.85
|
| Rate for Payer: Cash Price |
$213.85
|
| Rate for Payer: Devoted Health Medicare |
$123.13
|
| 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 |
$80.16
|
| Rate for Payer: Health Management Network Commercial |
$279.65
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$134.33
|
| 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 |
$109.80
|
| Rate for Payer: Ohana Health Plan Medicare |
$111.94
|
| 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
|
|
|
93308 Echo TTE Follow Up or Limited 2D POC
|
Facility
|
IP
|
$1,442.00
|
|
|
Service Code
|
HCPCS 93308
|
| Hospital Charge Code |
8280903
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$1,225.70 |
| Max. Negotiated Rate |
$1,398.74 |
| Rate for Payer: Cash Price |
$937.30
|
| Rate for Payer: Health Management Network Commercial |
$1,225.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,297.80
|
| Rate for Payer: MDX Hawaii PPO |
$1,398.74
|
|
|
93308 Echo TTE Follow Up or Limited 2D POC
|
Facility
|
OP
|
$1,442.00
|
|
|
Service Code
|
HCPCS 93308
|
| Hospital Charge Code |
8280903
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$64.51 |
| Max. Negotiated Rate |
$1,398.74 |
| Rate for Payer: AlohaCare Medicaid |
$721.00
|
| Rate for Payer: AlohaCare Medicare |
$721.00
|
| Rate for Payer: Cash Price |
$937.30
|
| Rate for Payer: Cash Price |
$937.30
|
| Rate for Payer: Devoted Health Medicare |
$793.10
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$64.51
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$304.71
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$721.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$67.74
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,369.90
|
| Rate for Payer: Health Management Network Commercial |
$1,225.70
|
| Rate for Payer: Humana Medicare |
$721.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,297.80
|
| Rate for Payer: Kaiser Permanente Medicaid |
$735.42
|
| Rate for Payer: Kaiser Permanente Medicare |
$721.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,398.74
|
| Rate for Payer: Ohana Health Plan Medicaid |
$721.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$721.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$64.51
|
| Rate for Payer: UnitedHealthcare Medicare |
$721.00
|
| Rate for Payer: University Health Alliance Commercial |
$807.52
|
|
|
93308 TTE Follow Up or Limited Charge
|
Facility
|
IP
|
$1,542.00
|
|
|
Service Code
|
HCPCS 93308
|
| Hospital Charge Code |
8220643
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$1,310.70 |
| Max. Negotiated Rate |
$1,495.74 |
| Rate for Payer: Cash Price |
$1,002.30
|
| Rate for Payer: Health Management Network Commercial |
$1,310.70
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,387.80
|
| Rate for Payer: MDX Hawaii PPO |
$1,495.74
|
|
|
93308 TTE Follow Up or Limited Charge
|
Facility
|
OP
|
$1,542.00
|
|
|
Service Code
|
HCPCS 93308
|
| Hospital Charge Code |
8220643
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$64.51 |
| Max. Negotiated Rate |
$1,495.74 |
| Rate for Payer: AlohaCare Medicaid |
$771.00
|
| Rate for Payer: AlohaCare Medicare |
$771.00
|
| Rate for Payer: Cash Price |
$1,002.30
|
| Rate for Payer: Cash Price |
$1,002.30
|
| Rate for Payer: Devoted Health Medicare |
$848.10
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$64.51
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$304.71
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$771.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$67.74
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$1,464.90
|
| Rate for Payer: Health Management Network Commercial |
$1,310.70
|
| Rate for Payer: Humana Medicare |
$771.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,387.80
|
| Rate for Payer: Kaiser Permanente Medicaid |
$786.42
|
| Rate for Payer: Kaiser Permanente Medicare |
$771.00
|
| Rate for Payer: MDX Hawaii PPO |
$1,495.74
|
| Rate for Payer: Ohana Health Plan Medicaid |
$771.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$771.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$64.51
|
| Rate for Payer: UnitedHealthcare Medicare |
$771.00
|
| Rate for Payer: University Health Alliance Commercial |
$863.52
|
|
|
93321 Doppler Echo Exam Heart Ltd Charge
|
Facility
|
OP
|
$439.00
|
|
|
Service Code
|
HCPCS 93321
|
| Hospital Charge Code |
8220489
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$37.31 |
| Max. Negotiated Rate |
$425.83 |
| Rate for Payer: AlohaCare Medicaid |
$219.50
|
| Rate for Payer: AlohaCare Medicare |
$219.50
|
| Rate for Payer: Cash Price |
$285.35
|
| Rate for Payer: Cash Price |
$285.35
|
| Rate for Payer: Devoted Health Medicare |
$241.45
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$37.31
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$219.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$39.18
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$417.05
|
| Rate for Payer: Health Management Network Commercial |
$373.15
|
| Rate for Payer: Humana Medicare |
$219.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$395.10
|
| Rate for Payer: Kaiser Permanente Medicaid |
$223.89
|
| Rate for Payer: Kaiser Permanente Medicare |
$219.50
|
| Rate for Payer: MDX Hawaii PPO |
$425.83
|
| Rate for Payer: Ohana Health Plan Medicaid |
$219.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$219.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$37.31
|
| Rate for Payer: UnitedHealthcare Medicare |
$219.50
|
| Rate for Payer: University Health Alliance Commercial |
$245.84
|
|
|
93321 Doppler Echo Exam Heart Ltd Charge
|
Facility
|
IP
|
$439.00
|
|
|
Service Code
|
HCPCS 93321
|
| Hospital Charge Code |
8220489
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$373.15 |
| Max. Negotiated Rate |
$425.83 |
| Rate for Payer: Cash Price |
$285.35
|
| Rate for Payer: Health Management Network Commercial |
$373.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$395.10
|
| Rate for Payer: MDX Hawaii PPO |
$425.83
|
|
|
93350 Echo Stress Test Charge
|
Facility
|
IP
|
$2,145.00
|
|
|
Service Code
|
HCPCS 93350
|
| Hospital Charge Code |
8220519
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$1,823.25 |
| Max. Negotiated Rate |
$2,080.65 |
| Rate for Payer: Cash Price |
$1,394.25
|
| Rate for Payer: Health Management Network Commercial |
$1,823.25
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,930.50
|
| Rate for Payer: MDX Hawaii PPO |
$2,080.65
|
|
|
93350 Echo Stress Test Charge
|
Facility
|
OP
|
$2,145.00
|
|
|
Service Code
|
HCPCS 93350
|
| Hospital Charge Code |
8220519
|
|
Hospital Revenue Code
|
483
|
| Min. Negotiated Rate |
$58.90 |
| Max. Negotiated Rate |
$2,080.65 |
| Rate for Payer: AlohaCare Medicaid |
$1,072.50
|
| Rate for Payer: AlohaCare Medicare |
$1,072.50
|
| Rate for Payer: Cash Price |
$1,394.25
|
| Rate for Payer: Cash Price |
$1,394.25
|
| Rate for Payer: Devoted Health Medicare |
$1,179.75
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$58.90
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$697.81
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$1,072.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$61.85
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$2,037.75
|
| Rate for Payer: Health Management Network Commercial |
$1,823.25
|
| Rate for Payer: Humana Medicare |
$1,072.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$1,930.50
|
| Rate for Payer: Kaiser Permanente Medicaid |
$1,093.95
|
| Rate for Payer: Kaiser Permanente Medicare |
$1,072.50
|
| Rate for Payer: MDX Hawaii PPO |
$2,080.65
|
| Rate for Payer: Ohana Health Plan Medicaid |
$1,072.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$1,072.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$58.90
|
| Rate for Payer: UnitedHealthcare Medicare |
$1,072.50
|
| Rate for Payer: University Health Alliance Commercial |
$1,201.20
|
|
|
93503 Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes
|
Professional
|
Both
|
$2,191.00
|
|
|
Service Code
|
HCPCS 93503
|
| Hospital Charge Code |
8040707
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$80.39 |
| Max. Negotiated Rate |
$1,862.35 |
| Rate for Payer: AlohaCare Medicaid |
$84.85
|
| Rate for Payer: AlohaCare Medicare |
$80.39
|
| 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 |
$88.43
|
| 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 |
$191.50
|
| Rate for Payer: Health Management Network Commercial |
$1,862.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$96.47
|
| 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 |
$84.85
|
| Rate for Payer: Ohana Health Plan Medicare |
$80.39
|
| 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
|
|
|
93503 Insert Place Heart Catheter Charge
|
Facility
|
OP
|
$8,118.00
|
|
|
Service Code
|
HCPCS 93503
|
| Hospital Charge Code |
8220819
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$340.18 |
| Max. Negotiated Rate |
$7,874.46 |
| Rate for Payer: AlohaCare Medicaid |
$4,059.00
|
| Rate for Payer: AlohaCare Medicare |
$4,059.00
|
| Rate for Payer: Cash Price |
$5,276.70
|
| Rate for Payer: Cash Price |
$5,276.70
|
| Rate for Payer: Cash Price |
$5,276.70
|
| Rate for Payer: Devoted Health Medicare |
$4,464.90
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$2,010.31
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$4,059.00
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$7,712.10
|
| Rate for Payer: Health Management Network Commercial |
$6,900.30
|
| Rate for Payer: Humana Medicare |
$4,059.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$7,306.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$4,140.18
|
| Rate for Payer: Kaiser Permanente Medicare |
$4,059.00
|
| Rate for Payer: MDX Hawaii PPO |
$7,874.46
|
| Rate for Payer: Ohana Health Plan Medicaid |
$4,059.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$4,059.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$340.18
|
| Rate for Payer: UnitedHealthcare Medicare |
$4,059.00
|
| Rate for Payer: University Health Alliance Commercial |
$4,546.08
|
|
|
93503 Insert Place Heart Catheter Charge
|
Facility
|
IP
|
$8,118.00
|
|
|
Service Code
|
HCPCS 93503
|
| Hospital Charge Code |
8220819
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$6,900.30 |
| Max. Negotiated Rate |
$7,874.46 |
| Rate for Payer: Cash Price |
$5,276.70
|
| Rate for Payer: Health Management Network Commercial |
$6,900.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$7,306.20
|
| Rate for Payer: MDX Hawaii PPO |
$7,874.46
|
|
|
93880 Duplex scan of extracranial arteries; complete bilateral study
|
Professional
|
Both
|
$579.00
|
|
|
Service Code
|
HCPCS 93880
|
| Hospital Charge Code |
8040726
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$165.42 |
| Max. Negotiated Rate |
$492.15 |
| Rate for Payer: AlohaCare Medicaid |
$212.08
|
| Rate for Payer: AlohaCare Medicare |
$209.52
|
| Rate for Payer: Cash Price |
$376.35
|
| Rate for Payer: Cash Price |
$376.35
|
| Rate for Payer: Devoted Health Medicare |
$230.47
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$209.52
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$165.42
|
| Rate for Payer: Health Management Network Commercial |
$492.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$251.42
|
| Rate for Payer: Kaiser Permanente Medicaid |
$251.42
|
| Rate for Payer: Kaiser Permanente Medicare |
$251.42
|
| Rate for Payer: Ohana Health Plan Medicaid |
$212.08
|
| Rate for Payer: Ohana Health Plan Medicare |
$209.52
|
| Rate for Payer: UnitedHealthcare Medicaid |
$212.08
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.52
|
|
|
93880 Duplex scan of extracranial arteries; complete bilateral study
|
Professional
|
Both
|
$579.00
|
|
|
Service Code
|
HCPCS 93880
|
| Hospital Charge Code |
8040726
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$165.42 |
| Max. Negotiated Rate |
$492.15 |
| Rate for Payer: AlohaCare Medicaid |
$212.08
|
| Rate for Payer: AlohaCare Medicare |
$209.52
|
| Rate for Payer: Cash Price |
$376.35
|
| Rate for Payer: Cash Price |
$376.35
|
| Rate for Payer: Cash Price |
$376.35
|
| Rate for Payer: Devoted Health Medicare |
$230.47
|
| 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 |
$165.42
|
| Rate for Payer: Health Management Network Commercial |
$492.15
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$251.42
|
| 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 |
$212.08
|
| Rate for Payer: Ohana Health Plan Medicare |
$209.52
|
| 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
|
|
|
93882 Duplex scan of extracranial arteries; unilateral or limited study
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 93882
|
| Hospital Charge Code |
8040727
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$72.15 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$139.00
|
| Rate for Payer: AlohaCare Medicare |
$137.16
|
| Rate for Payer: Cash Price |
$111.15
|
| Rate for Payer: Cash Price |
$111.15
|
| Rate for Payer: Cash Price |
$111.15
|
| Rate for Payer: Devoted Health Medicare |
$150.88
|
| 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 |
$72.15
|
| Rate for Payer: Health Management Network Commercial |
$145.35
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$164.59
|
| 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 |
$139.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$137.16
|
| 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
|
|
|
93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries
|
Professional
|
Both
|
$335.00
|
|
|
Service Code
|
HCPCS 93922
|
| Hospital Charge Code |
8040728
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$69.63 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$92.25
|
| Rate for Payer: AlohaCare Medicare |
$92.53
|
| Rate for Payer: Cash Price |
$217.75
|
| Rate for Payer: Cash Price |
$217.75
|
| Rate for Payer: Cash Price |
$217.75
|
| Rate for Payer: Devoted Health Medicare |
$101.78
|
| 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 |
$69.63
|
| Rate for Payer: Health Management Network Commercial |
$284.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$111.04
|
| 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 |
$92.25
|
| Rate for Payer: Ohana Health Plan Medicare |
$92.53
|
| 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
|
|
|
93923 Limited bilateral noninvasive Artery Flow Study
|
Professional
|
Both
|
$301.00
|
|
|
Service Code
|
HCPCS 93923
|
| Hospital Charge Code |
8040729
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$90.36 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$145.55
|
| Rate for Payer: AlohaCare Medicare |
$148.22
|
| Rate for Payer: Cash Price |
$195.65
|
| Rate for Payer: Cash Price |
$195.65
|
| Rate for Payer: Cash Price |
$195.65
|
| Rate for Payer: Devoted Health Medicare |
$163.04
|
| 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 |
$90.36
|
| Rate for Payer: Health Management Network Commercial |
$255.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$177.86
|
| 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 |
$145.55
|
| Rate for Payer: Ohana Health Plan Medicare |
$148.22
|
| 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
|
|
