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Hawaii rates for HCPCS 22862

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, 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
$2,018.51 / $2,018.51 / $2,018.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.54 / $2,776.13 / $3,331.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,943.69 / $3,221.56 / $3,803.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.98 / $2,665.08 / $3,109.26
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
$2,033.57 / $2,776.13 / $3,565.37
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.66 / $2,463.26 / $3,029.26