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Utah rates for HCPCS 22857

Total Disc Arthrp Ant Single Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,394.78 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.94 / $1,712.13 / $4,047.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.06 / $2,435.15 / $3,787.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $991.61 / $1,607.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.20 / $32,053.62 / $46,017.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.06 / $3,023.82 / $4,258.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $10,927.00 / $39,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.71 / $1,846.81 / $2,975.40