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Montana 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
$2,541.21 / $3,091.29 / $11,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.36 / $3,706.36 / $3,706.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.14 / $3,255.13 / $3,706.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.81 / $2,509.11 / $3,706.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.03 / $3,412.31 / $4,814.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.08 / $2,879.08 / $2,879.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,846.64 / $3,751.43 / $4,245.81