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Missouri 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
$2,035.00 / $5,560.00 / $13,095.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.45 / $2,353.17 / $3,515.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,971.00 / $20,450.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.49 / $2,219.46 / $3,805.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.22 / $2,872.38 / $4,573.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.51 / $3,294.45 / $9,475.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.39 / $3,036.76 / $16,414.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $5,833.00 / $19,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.17 / $2,889.73 / $4,766.60