Plastic Surgery -2014 - Kaiser Permanente

Plastic Surgery -2014

Deductible Plan Members or Non-Covered Services

Welcome to the Plastic Surgery department at Kaiser Permanente Colorado. In order to help you prepare for your visit, we have listed the following estimated potential costs to your visit based on common services in our department.

The estimates below are based on typical procedures done within the Plastic Surgery department. * Depending on your plan type and/or benefit, you may be responsible for some or all of these charges.

To learn more about deductible plans go to: deductibleplans

Service

Office Visit Consult (varies depending on length of visit) Removal of benign lesions

Removal of malignant lesions

Repair after lesion removal Simple Intermediate Complex

CPT Code 99201-99204 11401 - 11446 11600 - 11646

12011 12031 - 12052 13100 - 13131

Cost Range $62.66 - $234.48 $229.97 - $590.36 $297.06 - $783.34

$169.74 $367.76 - $452.02 $514.58 ? $592.66

Pathology Testing (Level III-IV) Puncture aspiration

88304 - 88305 10160

$67.39 - $105.97 $200.33

Please note: For questions about costs related to care you receive at a Kaiser Permanente medical office, or to inquire about payment plan options, please call Financial Counseling at 303-338-3025 (TTY: 1-800-659-2656), weekdays, 8 a.m. to 6 p.m.

Your actual charge may vary based on visit length, severity, additional tests and labs ordered by your physician, diagnosis type, and your deductible and out-of-pocket-maximum status at the time of your visit. For more information about your plan benefits or questions about coverage, please contact Member Services at 303-338-3800 (TTY: 303-338-3820), weekdays, 8 a.m. to 5 p.m.

*These estimates apply to deductible plan types (DHMO, HDHP), and are not generally applicable to HMO, PPO, Point-of-Service (POS), Medicare, or Out-of-Area plan types. The estimated fees listed above are valid as of 1/1/14 and are subject to change without notice.

Updated (12/11/13)(RP)

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