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Maryland rates for HCPCS 22857

Total Disc Arthrp Ant Single Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.19 / $1,752.53 / $4,211.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.21 / $2,030.21 / $2,578.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.63 / $2,200.64 / $4,400.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.84 / $2,364.76 / $3,645.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $4,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.64 / $1,951.81 / $3,705.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.93 / $2,108.12 / $2,587.94