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Michigan 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
$3,028.42 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.76 / $2,857.10 / $3,144.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.64 / $705.64 / $3,528.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.79 / $2,381.53 / $3,924.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.73 / $2,407.16 / $4,617.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.17 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.17 / $2,405.88 / $3,373.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $1,614.57 / $2,743.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.00 / $11,464.00 / $14,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.71 / $2,583.03 / $3,548.52