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Indiana rates for HCPCS 22862

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $3,389.73 / $10,985.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.62 / $2,253.00 / $2,803.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,778.00 / $48,259.71 / $70,653.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.11 / $2,247.13 / $3,101.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,005.76 / $2,216.36 / $2,507.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.43 / $2,405.63 / $3,687.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,475.00 / $14,307.00 / $19,962.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.07 / $2,399.50 / $4,267.10