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Hawaii rates for HCPCS 62287

Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.77 / $559.77 / $559.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.67 / $765.99 / $919.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.61 / $857.93 / $3,857.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.07 / $735.35 / $857.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.27 / $765.99 / $939.36
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.82 / $8,240.00 / $12,905.00