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Hawaii rates for HCPCS 22861

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical

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
$2,044.97 / $2,044.97 / $2,044.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.37 / $2,762.73 / $3,315.27
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.92 / $3,227.82 / $3,753.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.19 / $2,652.22 / $3,094.25
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
$2,254.38 / $2,762.73 / $3,564.63
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.61 / $2,283.26 / $3,020.88