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Idaho rates for HCPCS 22857

Total Disc Arthrp Ant Single Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,567.91 / $4,500.00 / $4,657.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.37 / $2,232.96 / $3,580.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.12 / $2,597.48 / $3,084.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $2,926.42 / $4,117.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,820.16 / $3,076.54 / $4,090.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,406.05 / $3,026.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,946.55 / $23,802.20 / $39,273.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,969.72 / $3,493.79 / $4,090.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $49,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.30 / $2,591.69 / $3,660.15