Medicaid Fee Schedule without Mods 200801

More documents

Recommendations

Info

PROC-CODE DESC MAC BEG END 86022 ANTIBODY IDENTIFICATION $25.38 20060701 99999999 86023 ANTIBODY IDENTIFICATION $15.20 20060701 99999999 86038 ANTINUCLEAR ANTIBODIES (ANA), RIA $16.70 20060701 99999999 86039 ANTINUCLEAR ANTIBODIES (ANA); TITER $15.43 20060701 99999999 86060 ANTISTREPTOLYSIN 0 $10.09 20060701 99999999 86063 ANTISTREPTOLYSIN 0 $7.98 20060701 99999999 86064 ANTITRYPSIN, ALPHA-1 $52.70 20050101 99999999 86077 BLOOD BANK PHYSICIAN SERVICES $51.86 20060701 99999999 86078 BLOOD BANK PHYSICIAN SERVICES $52.33 20060701 99999999 86079 BLOOD BANK PHYSICIAN SERVICES $52.37 20060701 99999999 86140 C-REACTIVE PROTEIN $7.15 20060701 99999999 86141 C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP) $17.20 20060701 99999999 86146 BETA 2 GLYCOPROTEIN I ANTIBODY, EACH $35.54 20060701 99999999 86147 CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY $35.16 20060701 99999999 86148 ANTI-PHOSPHATIDYLSERINE (PHOSPHOLIPID) ANTIBODY $22.20 20060701 99999999 86155 CHEMOTAXIS ASSAY, SPECIFY METHOD $13.40 20060701 99999999 86156 COLD AGGLUTININ; SCREEN $9.26 20060701 99999999 86157 COLD AGGLUTININ; TITER $11.14 20060701 99999999 86160 COMPLEMENT; ANTIGEN, EACH COMPONENT $16.59 20060701 99999999 86161 COMPLEMENT; FUNCTIONAL ACTIVITY, EACH COMPONENT $16.59 20060701 99999999 86162 COMPLEMENT $28.08 20060701 99999999 86171 COMPLEMENT FIXATION TESTS, EACH ANTIGEN $8.40 20060701 99999999 86185 COUNTERELECTROPHORESIS, EACH ANTIGEN $7.50 20060701 99999999 86200 CYCLIC CITRULLINATED PEPTIDE (CCP), ANTIBODY $12.66 20060701 99999999 86215 DEOXYRIBONUCLEASE, ANTIBODY $18.32 20060701 99999999 86225 DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY $18.99 20060701 99999999 86226 DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY; SINGLE STRANDED $16.73 20060701 99999999 86235 ANTIBODY TO SPECIFIC NUCLEAR ANTIGEN, ANY METHOD, EACH $24.78 20060701 99999999 86243 FC RECEPTOR ASSAY, SPECIFY METHOD $17.21 20060701 99999999 86255 FLUORESCENT ANTIBODY $16.66 20060701 99999999 86256 FLUORESCENT ANTIBODY $16.66 20060701 99999999 86277 GROWTH HORMONE, HUMAN (HGH), ANTIBODY, RIA $13.19 20060701 99999999 86280 HEMAGGLUTINATION INHIBITION TEST (HAI), EACH $6.86 20060701 99999999 86294 IMMUNOASSAY FOR TUMOR ANTIGEN, QUALITATIVE OR SEMIQUANTITATIVE (EG, BLADDER TUMO $16.45 20060701 99999999 86300 HETEROPHILE ANTIBODIES $28.76 20060701 99999999 86301 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 19-9 $28.76 20060701 99999999 86304 IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 125 $28.76 20060701 99999999 86308 HETEROPHILE ANTIBODIES; SCREENING $7.15 20060701 99999999 86309 HETEROPHILE ANTIBODIES; TITER $5.42 20060701 99999999 86310 HETEROPHILE ANTIBODIES $6.18 20060701 99999999 86316 IMMUNOASSAY FOR TUMOR ANTIGEN (EG, PROSTATE SPECIFIC ANTIGEN, $28.76 20060701 99999999 86317 IMMUNOASSAY FOR INFECTIOUS AGENT ANTIGEN OR ANTIBODY, EACH $20.72 20060701 99999999 86318 IMMUNOASSAY FOR CHEMICAL CONSTITUENT $17.89 20060701 99999999 86320 IMMUNOELECTROPHORESIS $22.10 20060701 99999999 86325 IMMUNOELECTROPHORESIS $22.53 20060701 99999999 86327 IMMUNOELECTROPHORESIS $19.02 20060701 99999999 86329 IMMUNODIFFUSION $11.77 20060701 99999999 86331 IMMUNODIFFUSION $10.05 20060701 99999999 86332 IMMUNE COMPLEX ASSAY CIQ BINDING CELL $32.38 20060701 99999999 86334 IMMUNOFIXATION ELECTROPHORESIS $30.87 20060701 99999999 86335 IMMUNOGLOBULIN TYPING (GC, GM, INV), EACH $30.87 20060701 99999999 86336 INHIBIN A $18.09 20060701 99999999 86337 INSULIN ANTIBODIES, RIA $29.59 20060701 99999999 86340 INTRINSIC FACTOR ANTIBODIES, RIA $20.83 20060701 99999999 86341 ISLET CELL ANTIBODY $25.15 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 256
PROC-CODE DESC MAC BEG END 86343 LEUKOCYTE HISTAMINE RELEASE TEST (LHR) $10.45 20060701 99999999 86344 LEUKOCYTE PHAGOCYTOSIS $6.70 20060701 99999999 86353 LYMPHOCYTE TRANSFORMATION, SPONTANEOUS BLASTOGENESIS OR PHYTOMITOGEN $41.09 20060701 99999999 86355 B CELLS, TOTAL COUNT $36.89 20060701 99999999 86356 MONONUCLEAR CELL ANTIGEN, QUANTITATIVE (EG, FLOW CYTOMETRY), NOT OTHERWISE SPECI $25.28 20080101 99999999 86357 LYMPHOCYTES $31.62 20060701 99999999 86359 T CELLS; TOTAL COUNT $52.13 20060701 99999999 86360 T CELLS; T4 AND T8, INCLUDING RATIO $64.93 20060701 99999999 86361 T CELLS; ABSOLUTE CD4 COUNT $25.00 20060701 99999999 86367 STEM CELLS (IE, CD34), TOTAL COUNT $36.89 20060701 99999999 86376 MICROSOMAL ANTIBODY (THYROID) $20.11 20060701 99999999 86378 MIGRATION INHIBITORY FACTOR TEST (MIF) $16.51 20060701 99999999 86379 NATURAL KILLER (NK) CELLS, TOTAL COUNT $52.70 20050101 99999999 86382 NEUTRALIZATION TEST, VIRAL $14.17 20060701 99999999 86384 NITROBLUE TETRAZOLIUM DYE TEST (NTD) $9.55 20060701 99999999 86403 PARTICLE AGGLUTINATION, RAPID TEST FOR $14.08 20060701 99999999 86406 PARTICLE AGGLUTINATION; TITER, EACH ANTIBODY $14.58 20060701 99999999 86430 RHEUMATOID FACTOR, LATEX FIXATION $7.85 20060701 99999999 86431 RHEUMATOID FACTOR; QUANTITATIVE $7.85 20060701 99999999 86480 SKIN TEST;CAT SCRATCH FEVER $51.95 20060701 99999999 86485 SKIN TEST; CANDIDA $13.04 19990701 99999999 86486 SKIN TEST; UNLISTED ANTIGEN, EACH $3.31 20080101 99999999 86490 SKIN TEST $7.69 20060701 99999999 86510 SKIN TEST $8.45 20060701 99999999 86540 SKIN TEST $7.89 19920401 99999999 86580 SKIN TEST $6.68 20060701 99999999 86585 SKIN TEST $6.00 19990701 99999999 86587 SPLITTING OF BLOOD OR BLOOD PRODUCTS, EACH $52.70 20050101 99999999 86590 STREPTOKINASE, ANTIBODY $15.24 20060701 99999999 86592 SYPHILIS TEST $5.90 20060701 99999999 86593 SYPHILIS TEST $6.09 20060701 99999999 86602 ANTIBODY; ACTINOMYCES $8.53 20060701 99999999 86603 ANTIBODY; ADENOVIRUS $10.79 20060701 99999999 86606 ANTIBODY; ASPIRGILLUS $20.80 20060701 99999999 86609 ANTIBODY; BACTERIUM, NOT ELSEWHERE SPECIFIED $17.81 20060701 99999999 86611 ANTIBODY; BARTONELLA $14.22 20060701 99999999 86612 ANTIBODY; BLASTOMYCES $10.82 20060701 99999999 86615 ANTIBODY; BORDETELLA $11.06 20060701 99999999 86617 ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE) CONFIRMATORY TEST (EG, WESTERN BLO $21.40 20060701 99999999 86618 ANTIBODY; BORELLIA BUFGDORFERI (LYME DISEASE) $23.54 20060701 99999999 86619 ANTIBODY; BORRELIA (RELAPSING FEVER) $11.21 20060701 99999999 86622 ANTIBODY; BRUCELLA $12.35 20060701 99999999 86625 ANTIBODY; CAMPYLOBACTER $11.00 20060701 99999999 86628 ANTIBODY; CANDIDA $16.60 20060701 99999999 86631 ANTIBODY; CHLAMYDIA $16.35 20060701 99999999 86632 ANTIBODY; CHLAMYDIA, IGM $17.55 20060701 99999999 86635 ANTIBODY; COCCIDIOIDES $9.62 20060701 99999999 86638 ANTIBODY; COXIELLA BRUNETII (Q FEVER) $10.16 20060701 99999999 86641 ANTIBODY; CRYPTOCOCCUS $12.08 20060701 99999999 86644 ANTIBODY; CYTOMEGALOVIRUS (CMV) $19.89 20060701 99999999 86645 ANTIBODY; CYTOMEGALOVIRUS (CMV), IGM $23.28 20060701 99999999 86648 ANTIBODY; DIPTHERIA $21.02 20060701 99999999 86651 ANTIBODY; ENCEPHALITIS, CALIFORNIA (LA CROSSE) $11.06 20060701 99999999 86652 ANTIBODY; ENCEPHALITIS, EASTERN EQUINE $11.06 20060701 99999999 86653 ANTIBODY; ENCEPHALITIS, ST. LOUIS $11.06 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 257
Page 1 and 2:
PROC-CODE DESC MAC BEG END A0130 NO
Page 3 and 4:
PROC-CODE DESC MAC BEG END A4355 3-
Page 5 and 6:
PROC-CODE DESC MAC BEG END A4431 OS
Page 7 and 8:
PROC-CODE DESC MAC BEG END A5093 OS
Page 9 and 10:
PROC-CODE DESC MAC BEG END A6231 GA
Page 11 and 12:
PROC-CODE DESC MAC BEG END A6452 HI
Page 13 and 14:
PROC-CODE DESC MAC BEG END A7504 FI
Page 15 and 16:
PROC-CODE DESC MAC BEG END ENTERAL
Page 17 and 18:
PROC-CODE DESC MAC BEG END D4210 GI
Page 19 and 20:
PROC-CODE DESC MAC BEG END D7911 SU
Page 21 and 22:
PROC-CODE DESC MAC BEG END E0248 TR
Page 23 and 24:
PROC-CODE DESC MAC BEG END E0580 NE
Page 25 and 26:
PROC-CODE DESC MAC BEG END E0911 TR
Page 27 and 28:
PROC-CODE DESC MAC BEG END E1085 HE
Page 29 and 30:
PROC-CODE DESC MAC BEG END E1638 HE
Page 31 and 32:
PROC-CODE DESC MAC BEG END E2324 PO
Page 33 and 34:
PROC-CODE DESC MAC BEG END E2605 PO
Page 35 and 36:
PROC-CODE DESC MAC BEG END G0091 IN
Page 37 and 38:
PROC-CODE DESC MAC BEG END G0206 DI
Page 39 and 40:
PROC-CODE DESC MAC BEG END K0032 SE
Page 41 and 42:
PROC-CODE DESC MAC BEG END K0130 FO
Page 43 and 44:
PROC-CODE DESC MAC BEG END K0240 HY
Page 45 and 46:
PROC-CODE DESC MAC BEG END K0529 ST
Page 47 and 48:
PROC-CODE DESC MAC BEG END K0822 PO
Page 49 and 50:
PROC-CODE DESC MAC BEG END L0350 TL
Page 51 and 52:
PROC-CODE DESC MAC BEG END L0633 LU
Page 53 and 54:
PROC-CODE DESC MAC BEG END L1685 HO
Page 55 and 56:
PROC-CODE DESC MAC BEG END L2106 AF
Page 57 and 58:
PROC-CODE DESC MAC BEG END L2670 AD
Page 59 and 60:
PROC-CODE DESC MAC BEG END L3420 FU
Page 61 and 62:
PROC-CODE DESC MAC BEG END L3906 WH
Page 63 and 64:
PROC-CODE DESC MAC BEG END L4110 RE
Page 65 and 66:
PROC-CODE DESC MAC BEG END L5622 AD
Page 67 and 68:
PROC-CODE DESC MAC BEG END L5701 AL
Page 69 and 70:
PROC-CODE DESC MAC BEG END L5981 AL
Page 71 and 72:
PROC-CODE DESC MAC BEG END L6646 UP
Page 73 and 74:
PROC-CODE DESC MAC BEG END L6915 HA
Page 75 and 76:
PROC-CODE DESC MAC BEG END L8170 EL
Page 77 and 78:
PROC-CODE DESC MAC BEG END M0728 EX
Page 79 and 80:
PROC-CODE DESC MAC BEG END Q4047 CA
Page 81 and 82:
PROC-CODE DESC MAC BEG END V2522 CO
Page 83 and 84:
PROC-CODE DESC MAC BEG END W9801 QU
Page 85 and 86:
PROC-CODE DESC MAC BEG END 00530 AN
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
PROC-CODE DESC MAC BEG END 11443 EX
Page 97 and 98:
PROC-CODE DESC MAC BEG END 12056 LA
Page 99 and 100:
PROC-CODE DESC MAC BEG END 15341 TI
Page 101 and 102:
Page 103 and 104:
PROC-CODE DESC MAC BEG END 19110 NI
Page 105 and 106:
PROC-CODE DESC MAC BEG END 20612 AS
Page 107 and 108:
PROC-CODE DESC MAC BEG END 21100 AP
Page 109 and 110:
PROC-CODE DESC MAC BEG END 21310 TR
Page 111 and 112:
PROC-CODE DESC MAC BEG END 21920 BI
Page 113 and 114:
PROC-CODE DESC MAC BEG END 22844 PO
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
PROC-CODE DESC MAC BEG END 25316 FL
Page 121 and 122:
PROC-CODE DESC MAC BEG END 26010 DR
Page 123 and 124:
PROC-CODE DESC MAC BEG END 26530 AR
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
PROC-CODE DESC MAC BEG END 27513 OP
Page 131 and 132:
Page 133 and 134:
PROC-CODE DESC MAC BEG END 28200 RE
Page 135 and 136:
PROC-CODE DESC MAC BEG END 28636 PE
Page 137 and 138:
Page 139 and 140:
PROC-CODE DESC MAC BEG END 30801 CA
Page 141 and 142:
Page 143 and 144:
PROC-CODE DESC MAC BEG END 32310 PL
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
PROC-CODE DESC MAC BEG END 35102 DI
Page 155 and 156:
PROC-CODE DESC MAC BEG END TRANSLUM
Page 157 and 158:
Page 159 and 160:
PROC-CODE DESC MAC BEG END 36555 IN
Page 161 and 162:
PROC-CODE DESC MAC BEG END 37188 PE
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
PROC-CODE DESC MAC BEG END 42836 AD
Page 169 and 170:
PROC-CODE DESC MAC BEG END 43260 EN
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
PROC-CODE DESC MAC BEG END 45114 PR
Page 177 and 178:
PROC-CODE DESC MAC BEG END 46221 HE
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
PROC-CODE DESC MAC BEG END 50393 IN
Page 187 and 188:
PROC-CODE DESC MAC BEG END 50940 DE
Page 189 and 190:
PROC-CODE DESC MAC BEG END 51920 CL
Page 191 and 192:
PROC-CODE DESC MAC BEG END 52647 NO
Page 193 and 194:
PROC-CODE DESC MAC BEG END 54162 LY
Page 195 and 196:
PROC-CODE DESC MAC BEG END 55110 SC
Page 197 and 198:
PROC-CODE DESC MAC BEG END 56353 HY
Page 199 and 200:
PROC-CODE DESC MAC BEG END 57310 CL
Page 201 and 202:
Page 203 and 204:
Page 205 and 206: PROC-CODE DESC MAC BEG END 61026 VE
Page 207 and 208: PROC-CODE DESC MAC BEG END 61576 TR
Page 209 and 210: PROC-CODE DESC MAC BEG END 61865 CR
Page 211 and 212: PROC-CODE DESC MAC BEG END 62360 IM
Page 213 and 214: PROC-CODE DESC MAC BEG END 63270 LA
Page 215 and 216: PROC-CODE DESC MAC BEG END 64479 IN
Page 217 and 218: PROC-CODE DESC MAC BEG END 64837 SU
Page 219 and 220: PROC-CODE DESC MAC BEG END 65870 SE
Page 221 and 222: PROC-CODE DESC MAC BEG END 67225 DE
Page 223 and 224: PROC-CODE DESC MAC BEG END 68320 CO
Page 225 and 226: PROC-CODE DESC MAC BEG END 69643 TY
Page 227 and 228: PROC-CODE DESC MAC BEG END 70542 MA
Page 229 and 230: PROC-CODE DESC MAC BEG END 72200 RA
Page 233 and 234: PROC-CODE DESC MAC BEG END 75822 VE
Page 237 and 238: PROC-CODE DESC MAC BEG END 76938 UL
Page 241 and 242: PROC-CODE DESC MAC BEG END 78261 GA
Page 245 and 246: PROC-CODE DESC MAC BEG END 82000 AC
Page 249 and 250: PROC-CODE DESC MAC BEG END 83015 HE
Page 251 and 252: PROC-CODE DESC MAC BEG END 83903 MO
Page 253 and 254: PROC-CODE DESC MAC BEG END 84425 TH
Page 255: PROC-CODE DESC MAC BEG END 85370 FI
Page 259 and 260: PROC-CODE DESC MAC BEG END 86788 AN
Page 261 and 262: PROC-CODE DESC MAC BEG END 87206 SM
Page 267 and 268: PROC-CODE DESC MAC BEG END 88184 FL
Page 269 and 270: PROC-CODE DESC MAC BEG END 89140 GA
Page 271 and 272: PROC-CODE DESC MAC BEG END 90734 ME
Page 273 and 274: PROC-CODE DESC MAC BEG END 90847 FA
Page 275 and 276: PROC-CODE DESC MAC BEG END 92250 OP
Page 277 and 278: PROC-CODE DESC MAC BEG END 92602 DI
Page 279 and 280: PROC-CODE DESC MAC BEG END 93237 EL
Page 283 and 284: PROC-CODE DESC MAC BEG END 94016 PA
Page 285 and 286: PROC-CODE DESC MAC BEG END 95811 PO
Page 289 and 290: PROC-CODE DESC MAC BEG END 97022 PH
Page 291 and 292: PROC-CODE DESC MAC BEG END 99214 OF
Page 293 and 294: PROC-CODE DESC MAC BEG END 99307 SU
Page 295: PROC-CODE DESC MAC BEG END 99440 NE
show all

Medicaid Fee Schedule without Mods 200801

Create successful ePaper yourself

Delete template?

Save as template?