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Massachusetts rates for HCPCS 22857

Total Disc Arthrp Ant Single Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $2,955.00 / $7,203.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.27 / $1,743.77 / $2,857.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.00 / $6,003.00 / $36,845.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.44 / $3,069.11 / $13,625.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.34 / $2,815.69 / $5,064.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.18 / $2,783.07 / $7,218.72
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.94 / $2,400.78 / $3,265.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.33 / $4,272.39 / $5,607.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,238.00 / $17,889.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.66 / $3,178.42 / $13,625.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.66 / $2,619.42 / $5,212.88