go back

Maine rates for HCPCS 22862

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Lmbr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.85 / $2,316.92 / $2,830.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,700.76 / $80,886.58 / $94,079.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,291.75 / $2,676.61 / $4,471.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,165.96 / $3,396.33 / $4,841.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.44 / $3,378.95 / $5,183.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.85 / $2,197.62 / $2,830.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.40 / $2,747.11 / $5,520.17