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Nebraska 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
$4,241.22 / $10,431.19 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.93 / $1,969.93 / $11,594.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.58 / $3,258.40 / $4,344.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.04 / $4,478.64 / $6,045.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.93 / $3,447.38 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.06 / $4,164.62 / $5,976.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.25 / $4,427.31 / $7,169.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,188.48 / $4,405.93 / $6,210.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.06 / $4,364.03 / $5,662.58