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Kentucky 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
$991.00 / $2,370.83 / $7,702.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.49 / $2,253.00 / $2,507.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $26,311.85 / $79,432.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.33 / $1,952.40 / $2,808.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,010.49 / $2,909.66 / $3,480.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.83 / $3,017.42 / $3,575.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,651.02 / $2,651.02 / $2,651.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.00 / $2,796.14 / $4,242.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.00 / $6,186.00 / $15,387.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.36 / $2,617.63 / $4,330.02