go back

Utah rates for HCPCS 22861

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,895.95 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.17 / $2,895.95 / $11,602.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,181.92 / $2,990.73 / $6,148.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $1,308.06 / $2,178.40
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
$3,067.37 / $3,581.03 / $4,698.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.00 / $4,912.00 / $24,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.68 / $2,375.87 / $3,885.41