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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

Facilitymedian $6,918 · 10th–90th $2,818–$6,9180%50%10th$6,918Professionalmedian $1,995 · 10th–90th $1,660–$3,0900%20%10th90th$1,995$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $6,918.31 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,819.70 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,137.96 / $2,570.40
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,511.89 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,862.09 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,089.30 / $2,570.40
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $1,905.46 / $13,803.84