go back

Massachusetts rates for HCPCS 22853

Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.73 / $2,067.00 / $5,893.91
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,689.46 / $3,689.46 / $3,689.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.88 / $389.25 / $1,505.00
Aetna
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$22.34 / $78.78 / $177.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $947.00 / $4,142.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$384.88 / $384.88 / $760.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.58 / $61.58 / $121.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.90 / $418.33 / $1,689.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $477.07 / $632.98
BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$44.16 / $62.52 / $98.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.88 / $453.63 / $735.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.32 / $372.77 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.69 / $344.81 / $466.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.02 / $601.41 / $789.59
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.58 / $1,029.47 / $5,315.70
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $533.00 / $1,501.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.79 / $1,818.00 / $5,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$384.88 / $384.88 / $760.56
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.58 / $61.58 / $121.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.95 / $435.49 / $1,780.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.29 / $406.07 / $823.89