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Massachusetts 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
$2,570.40 / $4,073.80 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,309.57 / $40,738.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,311.31 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,388.44 / $6,309.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $3,388.44 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $4,265.80
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $20,417.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $4,265.80 / $6,456.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,309.57 / $40,738.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,235.94 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,244.36 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,311.31 / $6,760.83