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Louisiana 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
$1,023.29 / $3,162.28 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,090.30 / $3,801.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,951.21 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $10,000.00 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $4,265.80