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Idaho rates for HCPCS 22861

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,657.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.89 / $2,895.95 / $4,496.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.50 / $3,253.12 / $3,863.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.86 / $3,981.66 / $5,396.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,779.79 / $4,123.39 / $5,152.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,070.21 / $3,862.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,946.55 / $23,802.20 / $39,273.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,993.44 / $4,698.16 / $5,152.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $65,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.14 / $3,272.03 / $4,622.31