go back

Hawaii rates for HCPCS 22865

Removal 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
$2,173.85 / $2,173.85 / $2,173.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.91 / $2,712.63 / $3,255.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,875.18 / $3,146.59 / $3,714.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,387.11 / $2,604.12 / $3,038.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.72 / $2,712.63 / $3,480.54
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.84 / $2,416.44 / $2,958.76