go back

Idaho rates for HCPCS 22862

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,754.23 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $8,912.51 / $30,199.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,265.80 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,951.21 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,388.44 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,265.80 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $23,988.33 / $31,622.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $4,570.88 / $4,897.79
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,995.26 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $12,022.64 / $66,069.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $4,677.35