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Maine rates for HCPCS 22857

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.01 / $1,647.81 / $2,233.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,700.76 / $80,886.58 / $94,079.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.04 / $2,387.69 / $3,334.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.88 / $2,648.23 / $3,783.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,178.06 / $2,520.02 / $3,865.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.94 / $1,666.37 / $2,233.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.47 / $2,586.67 / $3,478.76