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Hawaii rates for HCPCS 22864

Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,918.31 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,995.26 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $2,754.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,344.23 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,398.83 / $3,162.28
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $2,238.72 / $2,691.53