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Hawaii rates for HCPCS 22857

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $6,966.00 / $8,499.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.24 / $1,743.77 / $2,697.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.38 / $2,159.19 / $2,591.03
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.76 / $2,521.21 / $2,976.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.09 / $2,072.82 / $2,418.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $3,340.00 / $3,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.90 / $2,159.19 / $2,828.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.33 / $1,925.72 / $2,370.73