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Maine 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 / $2,630.27 / $5,495.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,467.37 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,090.30 / $5,011.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $6,309.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,090.30 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $5,011.87