|
93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study
|
Professional
|
Both
|
$575.00
|
|
|
Service Code
|
HCPCS 93925
|
| Hospital Charge Code |
8040731
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$142.83 |
| Max. Negotiated Rate |
$488.75 |
| Rate for Payer: AlohaCare Medicaid |
$269.64
|
| Rate for Payer: AlohaCare Medicare |
$264.40
|
| Rate for Payer: Cash Price |
$373.75
|
| Rate for Payer: Cash Price |
$373.75
|
| Rate for Payer: Cash Price |
$373.75
|
| Rate for Payer: Devoted Health Medicare |
$290.84
|
| 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 |
$142.83
|
| Rate for Payer: Health Management Network Commercial |
$488.75
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$317.28
|
| 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 |
$269.64
|
| Rate for Payer: Ohana Health Plan Medicare |
$264.40
|
| 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
|
|
|
93926 Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study
|
Professional
|
Both
|
$314.00
|
|
|
Service Code
|
HCPCS 93926
|
| Hospital Charge Code |
8040732
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$131.13 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$161.18
|
| Rate for Payer: AlohaCare Medicare |
$155.39
|
| Rate for Payer: Cash Price |
$204.10
|
| Rate for Payer: Cash Price |
$204.10
|
| Rate for Payer: Cash Price |
$204.10
|
| Rate for Payer: Devoted Health Medicare |
$170.93
|
| 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 |
$131.13
|
| Rate for Payer: Health Management Network Commercial |
$266.90
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$186.47
|
| 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 |
$161.18
|
| Rate for Payer: Ohana Health Plan Medicare |
$155.39
|
| 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
|
|
|
93930 Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study
|
Professional
|
Both
|
$548.00
|
|
|
Service Code
|
HCPCS 93930
|
| Hospital Charge Code |
8040733
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$154.23 |
| Max. Negotiated Rate |
$465.80 |
| Rate for Payer: AlohaCare Medicaid |
$221.07
|
| Rate for Payer: AlohaCare Medicare |
$220.53
|
| Rate for Payer: Cash Price |
$356.20
|
| Rate for Payer: Cash Price |
$356.20
|
| Rate for Payer: Cash Price |
$356.20
|
| Rate for Payer: Devoted Health Medicare |
$242.58
|
| 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 |
$154.23
|
| Rate for Payer: Health Management Network Commercial |
$465.80
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$264.64
|
| 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 |
$221.07
|
| Rate for Payer: Ohana Health Plan Medicare |
$220.53
|
| 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
|
|
|
93931 Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study
|
Professional
|
Both
|
$358.00
|
|
|
Service Code
|
HCPCS 93931
|
| Hospital Charge Code |
8040734
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$102.55 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$138.05
|
| Rate for Payer: AlohaCare Medicare |
$133.93
|
| Rate for Payer: Cash Price |
$232.70
|
| Rate for Payer: Cash Price |
$232.70
|
| Rate for Payer: Cash Price |
$232.70
|
| Rate for Payer: Devoted Health Medicare |
$147.32
|
| 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 |
$102.55
|
| Rate for Payer: Health Management Network Commercial |
$304.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$160.72
|
| 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 |
$138.05
|
| Rate for Payer: Ohana Health Plan Medicare |
$133.93
|
| 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
|
|
|
93970 Duplex scan of extremity veins; complete bilateral study
|
Professional
|
Both
|
$680.00
|
|
|
Service Code
|
HCPCS 93970
|
| Hospital Charge Code |
8040735
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$161.05 |
| Max. Negotiated Rate |
$578.00 |
| Rate for Payer: AlohaCare Medicaid |
$209.33
|
| Rate for Payer: AlohaCare Medicare |
$204.46
|
| Rate for Payer: Cash Price |
$442.00
|
| Rate for Payer: Cash Price |
$442.00
|
| Rate for Payer: Cash Price |
$442.00
|
| Rate for Payer: Devoted Health Medicare |
$224.91
|
| 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 |
$161.05
|
| Rate for Payer: Health Management Network Commercial |
$578.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$245.35
|
| 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 |
$209.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$204.46
|
| 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
|
|
|
93970 Duplex scan of extremity veins; complete bilateral study
|
Professional
|
Both
|
$680.00
|
|
|
Service Code
|
HCPCS 93970
|
| Hospital Charge Code |
8040735
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$161.05 |
| Max. Negotiated Rate |
$578.00 |
| Rate for Payer: AlohaCare Medicaid |
$209.33
|
| Rate for Payer: AlohaCare Medicare |
$204.46
|
| Rate for Payer: Cash Price |
$442.00
|
| Rate for Payer: Cash Price |
$442.00
|
| Rate for Payer: Devoted Health Medicare |
$224.91
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$204.46
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$161.05
|
| Rate for Payer: Health Management Network Commercial |
$578.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$245.35
|
| Rate for Payer: Kaiser Permanente Medicaid |
$245.35
|
| Rate for Payer: Kaiser Permanente Medicare |
$245.35
|
| Rate for Payer: Ohana Health Plan Medicaid |
$209.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$204.46
|
| Rate for Payer: UnitedHealthcare Medicaid |
$209.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$204.46
|
|
|
93971 Duplex scan of extremity veins; unilateral or limited study
|
Professional
|
Both
|
$456.00
|
|
|
Service Code
|
HCPCS 93971
|
| Hospital Charge Code |
8040736
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$129.21 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$133.33
|
| Rate for Payer: AlohaCare Medicare |
$129.21
|
| Rate for Payer: Cash Price |
$296.40
|
| Rate for Payer: Cash Price |
$296.40
|
| Rate for Payer: Cash Price |
$296.40
|
| Rate for Payer: Devoted Health Medicare |
$142.13
|
| 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 |
$130.82
|
| Rate for Payer: Health Management Network Commercial |
$387.60
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$155.05
|
| 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 |
$133.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$129.21
|
| 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
|
|
|
93971 Duplex scan of extremity veins; unilateral or limited study
|
Professional
|
Both
|
$456.00
|
|
|
Service Code
|
HCPCS 93971
|
| Hospital Charge Code |
8040736
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$129.21 |
| Max. Negotiated Rate |
$387.60 |
| Rate for Payer: AlohaCare Medicaid |
$133.33
|
| Rate for Payer: AlohaCare Medicare |
$129.21
|
| Rate for Payer: Cash Price |
$296.40
|
| Rate for Payer: Cash Price |
$296.40
|
| Rate for Payer: Devoted Health Medicare |
$142.13
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$129.21
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$130.82
|
| Rate for Payer: Health Management Network Commercial |
$387.60
|
| Rate for Payer: Kaiser Permanente Commercial |
$155.05
|
| Rate for Payer: Kaiser Permanente Medicaid |
$155.05
|
| Rate for Payer: Kaiser Permanente Medicare |
$155.05
|
| Rate for Payer: Ohana Health Plan Medicaid |
$133.33
|
| Rate for Payer: Ohana Health Plan Medicare |
$129.21
|
| Rate for Payer: UnitedHealthcare Medicaid |
$133.33
|
| Rate for Payer: UnitedHealthcare Medicare |
$129.21
|
|
|
93971 US Lower Ext Venous Duplex Left
|
Facility
|
OP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 LT
|
| Hospital Charge Code |
9325760
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$93.10 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: AlohaCare Medicaid |
$430.50
|
| Rate for Payer: AlohaCare Medicare |
$430.50
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Devoted Health Medicare |
$473.55
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$93.10
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$430.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$109.94
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$817.95
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Humana Medicare |
$430.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$439.11
|
| Rate for Payer: Kaiser Permanente Medicare |
$430.50
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
| Rate for Payer: Ohana Health Plan Medicaid |
$430.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$430.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$93.10
|
| Rate for Payer: UnitedHealthcare Medicare |
$430.50
|
| Rate for Payer: University Health Alliance Commercial |
$482.16
|
|
|
93971 US Lower Ext Venous Duplex Left
|
Facility
|
IP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 LT
|
| Hospital Charge Code |
9325760
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$731.85 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
|
|
93971 US Lower Ext Venous Duplex Right
|
Facility
|
OP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 RT
|
| Hospital Charge Code |
9325761
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$93.10 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: AlohaCare Medicaid |
$430.50
|
| Rate for Payer: AlohaCare Medicare |
$430.50
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Devoted Health Medicare |
$473.55
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$93.10
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$430.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$109.94
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$817.95
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Humana Medicare |
$430.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$439.11
|
| Rate for Payer: Kaiser Permanente Medicare |
$430.50
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
| Rate for Payer: Ohana Health Plan Medicaid |
$430.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$430.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$93.10
|
| Rate for Payer: UnitedHealthcare Medicare |
$430.50
|
| Rate for Payer: University Health Alliance Commercial |
$482.16
|
|
|
93971 US Lower Ext Venous Duplex Right
|
Facility
|
IP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 RT
|
| Hospital Charge Code |
9325761
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$731.85 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
|
|
93971 US Upper Ext Venous Duplex Left
|
Facility
|
IP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 LT
|
| Hospital Charge Code |
9325762
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$731.85 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
|
|
93971 US Upper Ext Venous Duplex Left
|
Facility
|
OP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 LT
|
| Hospital Charge Code |
9325762
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$93.10 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: AlohaCare Medicaid |
$430.50
|
| Rate for Payer: AlohaCare Medicare |
$430.50
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Devoted Health Medicare |
$473.55
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$93.10
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$430.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$109.94
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$817.95
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Humana Medicare |
$430.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$439.11
|
| Rate for Payer: Kaiser Permanente Medicare |
$430.50
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
| Rate for Payer: Ohana Health Plan Medicaid |
$430.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$430.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$93.10
|
| Rate for Payer: UnitedHealthcare Medicare |
$430.50
|
| Rate for Payer: University Health Alliance Commercial |
$482.16
|
|
|
93971 US Upper Ext Venous Duplex Right
|
Facility
|
OP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 RT
|
| Hospital Charge Code |
9325763
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$93.10 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: AlohaCare Medicaid |
$430.50
|
| Rate for Payer: AlohaCare Medicare |
$430.50
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Devoted Health Medicare |
$473.55
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$93.10
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$430.50
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$109.94
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$817.95
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Humana Medicare |
$430.50
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: Kaiser Permanente Medicaid |
$439.11
|
| Rate for Payer: Kaiser Permanente Medicare |
$430.50
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
| Rate for Payer: Ohana Health Plan Medicaid |
$430.50
|
| Rate for Payer: Ohana Health Plan Medicare |
$430.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$93.10
|
| Rate for Payer: UnitedHealthcare Medicare |
$430.50
|
| Rate for Payer: University Health Alliance Commercial |
$482.16
|
|
|
93971 US Upper Ext Venous Duplex Right
|
Facility
|
IP
|
$861.00
|
|
|
Service Code
|
HCPCS 93971 RT
|
| Hospital Charge Code |
9325763
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$731.85 |
| Max. Negotiated Rate |
$835.17 |
| Rate for Payer: Cash Price |
$559.65
|
| Rate for Payer: Health Management Network Commercial |
$731.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$774.90
|
| Rate for Payer: MDX Hawaii PPO |
$835.17
|
|
|
93975 Duplex scan of arterial inflow and venous outflow; complete study
|
Professional
|
Both
|
$758.00
|
|
|
Service Code
|
HCPCS 93975
|
| Hospital Charge Code |
8040737
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$181.39 |
| Max. Negotiated Rate |
$644.30 |
| Rate for Payer: AlohaCare Medicaid |
$295.00
|
| Rate for Payer: AlohaCare Medicare |
$287.11
|
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Devoted Health Medicare |
$315.82
|
| 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 |
$264.52
|
| Rate for Payer: Health Management Network Commercial |
$644.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$344.53
|
| 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 |
$295.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$287.11
|
| 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
|
|
|
93975 Duplex scan of arterial inflow and venous outflow; complete study
|
Professional
|
Both
|
$758.00
|
|
|
Service Code
|
HCPCS 93975
|
| Hospital Charge Code |
8040737
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$264.52 |
| Max. Negotiated Rate |
$644.30 |
| Rate for Payer: AlohaCare Medicaid |
$295.00
|
| Rate for Payer: AlohaCare Medicare |
$287.11
|
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Devoted Health Medicare |
$315.82
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$287.11
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$264.52
|
| Rate for Payer: Health Management Network Commercial |
$644.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$344.53
|
| Rate for Payer: Kaiser Permanente Medicaid |
$344.53
|
| Rate for Payer: Kaiser Permanente Medicare |
$344.53
|
| Rate for Payer: Ohana Health Plan Medicaid |
$295.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$287.11
|
| Rate for Payer: UnitedHealthcare Medicaid |
$295.00
|
| Rate for Payer: UnitedHealthcare Medicare |
$287.11
|
|
|
93980 Duplex scan of arterial inflow and venous outflow of penile vessels; complete study
|
Professional
|
Both
|
$156.00
|
|
|
Service Code
|
HCPCS 93980
|
| Hospital Charge Code |
8040741
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$126.87 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$126.87
|
| Rate for Payer: AlohaCare Medicare |
$130.78
|
| Rate for Payer: Cash Price |
$101.40
|
| Rate for Payer: Cash Price |
$101.40
|
| Rate for Payer: Cash Price |
$101.40
|
| Rate for Payer: Devoted Health Medicare |
$143.86
|
| 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 |
$171.24
|
| Rate for Payer: Health Management Network Commercial |
$132.60
|
| Rate for Payer: Kaiser Permanente Commercial |
$209.49
|
| Rate for Payer: Kaiser Permanente Commercial |
$156.94
|
| 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 |
$126.87
|
| Rate for Payer: Ohana Health Plan Medicare |
$130.78
|
| 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
|
|
|
93990 Duplex scan of hemodialysis access
|
Facility
|
OP
|
$758.00
|
|
|
Service Code
|
HCPCS 93990
|
| Hospital Charge Code |
8040743
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$102.96 |
| Max. Negotiated Rate |
$735.26 |
| Rate for Payer: AlohaCare Medicaid |
$379.00
|
| Rate for Payer: AlohaCare Medicare |
$379.00
|
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Devoted Health Medicare |
$416.90
|
| Rate for Payer: Hawaii Medical Service Association ABD |
$102.96
|
| Rate for Payer: Hawaii Medical Service Association Commercial |
$133.51
|
| Rate for Payer: Hawaii Medical Service Association Medicare |
$379.00
|
| Rate for Payer: Hawaii Medical Service Association Non-ABD |
$122.94
|
| Rate for Payer: Hawaii Western Management Group Commercial |
$720.10
|
| Rate for Payer: Health Management Network Commercial |
$644.30
|
| Rate for Payer: Humana Medicare |
$379.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$682.20
|
| Rate for Payer: Kaiser Permanente Medicaid |
$386.58
|
| Rate for Payer: Kaiser Permanente Medicare |
$379.00
|
| Rate for Payer: MDX Hawaii PPO |
$735.26
|
| Rate for Payer: Ohana Health Plan Medicaid |
$379.00
|
| Rate for Payer: Ohana Health Plan Medicare |
$379.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$102.96
|
| Rate for Payer: UnitedHealthcare Medicare |
$379.00
|
| Rate for Payer: University Health Alliance Commercial |
$424.48
|
|
|
93990 Duplex scan of hemodialysis access
|
Facility
|
IP
|
$758.00
|
|
|
Service Code
|
HCPCS 93990
|
| Hospital Charge Code |
8040743
|
|
Hospital Revenue Code
|
921
|
| Min. Negotiated Rate |
$644.30 |
| Max. Negotiated Rate |
$735.26 |
| Rate for Payer: Cash Price |
$492.70
|
| Rate for Payer: Health Management Network Commercial |
$644.30
|
| Rate for Payer: Kaiser Permanente Commercial |
$682.20
|
| Rate for Payer: MDX Hawaii PPO |
$735.26
|
|
|
94002 Ventilation assist and management; hospital, initial day
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 94002
|
| Hospital Charge Code |
8040744
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$85.14 |
| Max. Negotiated Rate |
$731.00 |
| Rate for Payer: Kaiser Permanente Medicare |
$265.97
|
| Rate for Payer: AlohaCare Medicaid |
$90.27
|
| Rate for Payer: AlohaCare Medicare |
$85.14
|
| Rate for Payer: Cash Price |
$559.00
|
| Rate for Payer: Cash Price |
$559.00
|
| Rate for Payer: Cash Price |
$559.00
|
| Rate for Payer: Devoted Health Medicare |
$93.65
|
| 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: Hawaii Western Management Group Commercial |
$92.50
|
| Rate for Payer: Health Management Network Commercial |
$731.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$265.97
|
| Rate for Payer: Kaiser Permanente Commercial |
$102.17
|
| 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 |
$303.73
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicaid |
$434.26
|
| Rate for Payer: Kaiser Permanente Medicare |
$339.46
|
| Rate for Payer: Kaiser Permanente Medicare |
$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: Kaiser Permanente Medicare |
$246.64
|
| Rate for Payer: Ohana Health Plan Medicaid |
$90.27
|
| Rate for Payer: Ohana Health Plan Medicare |
$85.14
|
| Rate for Payer: UnitedHealthcare Medicaid |
$434.26
|
| Rate for Payer: UnitedHealthcare Medicare |
$246.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$237.64
|
| Rate for Payer: UnitedHealthcare Medicare |
$209.49
|
| Rate for Payer: UnitedHealthcare Medicare |
$181.39
|
| Rate for Payer: UnitedHealthcare Medicare |
$265.97
|
| Rate for Payer: UnitedHealthcare Medicare |
$303.73
|
| Rate for Payer: UnitedHealthcare Medicare |
$339.46
|
|
|
94003 Ventilation assist and management; hospital, subsequent day
|
Professional
|
Both
|
$860.00
|
|
|
Service Code
|
HCPCS 94003
|
| Hospital Charge Code |
8040745
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$58.71 |
| Max. Negotiated Rate |
$731.00 |
| Rate for Payer: AlohaCare Medicaid |
$63.72
|
| Rate for Payer: AlohaCare Medicare |
$58.71
|
| Rate for Payer: Cash Price |
$559.00
|
| Rate for Payer: Cash Price |
$559.00
|
| Rate for Payer: Cash Price |
$559.00
|
| Rate for Payer: Devoted Health Medicare |
$64.58
|
| 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 |
$731.00
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$70.45
|
| 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 |
$63.72
|
| Rate for Payer: Ohana Health Plan Medicare |
$58.71
|
| 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
|
|
|
94010 Spirometry, w/ graphic record, total/timed vital capacity, expiratory flow rate measurement(s)
|
Professional
|
Both
|
$301.00
|
|
|
Service Code
|
HCPCS 94010
|
| Hospital Charge Code |
8040747
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$30.13 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$30.13
|
| Rate for Payer: AlohaCare Medicare |
$32.65
|
| 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 |
$35.91
|
| 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 |
$33.23
|
| Rate for Payer: Health Management Network Commercial |
$255.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$339.46
|
| Rate for Payer: Kaiser Permanente Commercial |
$39.18
|
| 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 |
$30.13
|
| Rate for Payer: Ohana Health Plan Medicare |
$32.65
|
| 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
|
|
|
94015 Patient-initiated spirometric recording per 30-day period of time; recording
|
Professional
|
Both
|
$301.00
|
|
|
Service Code
|
HCPCS 94015
|
| Hospital Charge Code |
8040748
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$36.52 |
| Max. Negotiated Rate |
$434.26 |
| Rate for Payer: AlohaCare Medicaid |
$36.52
|
| Rate for Payer: AlohaCare Medicare |
$39.69
|
| 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 |
$43.66
|
| 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 |
$255.85
|
| Rate for Payer: Kaiser Permanente Commercial |
$237.64
|
| Rate for Payer: Kaiser Permanente Commercial |
$47.63
|
| 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 |
$36.52
|
| Rate for Payer: Ohana Health Plan Medicare |
$39.69
|
| 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
|
|
