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Minnesota 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
$2,137.96 / $2,137.96 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $16,982.44 / $42,657.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $5,623.41 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,762.47 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $6,309.57 / $9,332.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,413.10 / $14,454.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,248.07 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $4,073.80 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,128.31 / $28,183.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,981.07 / $7,943.28