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Rhode Island rates for HCPCS 22857

Total Disc Arthrp Ant Single Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $4,937.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.89 / $1,813.19 / $2,680.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.38 / $2,075.27 / $3,515.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.90 / $2,694.15 / $3,667.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,505.00 / $7,819.00 / $19,195.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.21 / $2,542.15 / $3,987.52