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Maryland rates for HCPCS 22862

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,290.87 / $5,495.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,511.89 / $5,370.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,187.76 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,454.71 / $4,677.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $3,630.78