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Maine rates for HCPCS 22861

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.00 / $2,311.46 / $2,834.80
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
$2,427.81 / $3,141.87 / $4,469.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.31 / $3,401.76 / $4,836.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,919.20 / $3,377.51 / $5,181.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.00 / $2,289.73 / $2,834.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.69 / $2,831.15 / $4,480.96