Kahi Mohala
91-2301 Fort Weaver Road
Ewa Beach, HI 96706
Psychiatric
Overview
- CCN124001
Procedures & prices
- CROMOLYN SODIUM NONCOMP UNITJ7631$10cashGross $150 payers
- PROCHLORPERAZINE INJECTIONJ0780$11cashGross $150 payers
- Furosemide injectionJ1940$11cashGross $160 payers
- STERILE CEFUROXIME INJECTIONJ0697$11cashGross $160 payers
- TRIMETHOBENZAMIDE HCL INJJ3250$11cashGross $160 payers
- HALOPERIDOL INJECTIONJ1630$12cashGross $160 payers
- RINGERS LACTATE INFUSIONJ7120$12cashGross $170 payers
- 5% DEXTROSE IN LAC RINGERSJ7121$12cashGross $170 payers
- INJ LEVOLEUCOVORIN NOS 0.5MGJ0641$13cashGross $180 payers
- Hocm 300-349mg/ml iodine,1mlQ9962$13cashGross $180 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| CROMOLYN SODIUM NONCOMP UNIT | J7631 | $10 | $15 | — | 0 |
| PROCHLORPERAZINE INJECTION | J0780 | $11 | $15 | — | 0 |
| Furosemide injection | J1940 | $11 | $16 | — | 0 |
| STERILE CEFUROXIME INJECTION | J0697 | $11 | $16 | — | 0 |
| TRIMETHOBENZAMIDE HCL INJ | J3250 | $11 | $16 | — | 0 |
| HALOPERIDOL INJECTION | J1630 | $12 | $16 | — | 0 |
| RINGERS LACTATE INFUSION | J7120 | $12 | $17 | — | 0 |
| 5% DEXTROSE IN LAC RINGERS | J7121 | $12 | $17 | — | 0 |
| INJ LEVOLEUCOVORIN NOS 0.5MG | J0641 | $13 | $18 | — | 0 |
| Hocm 300-349mg/ml iodine,1ml | Q9962 | $13 | $18 | — | 0 |
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