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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
$4,786.30 / $8,511.38 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,232.93 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,235.94 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $4,786.30 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,467.37 / $15,488.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,981.07 / $16,595.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,466.84 / $7,244.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $20,892.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,897.79 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $13,489.63 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $5,370.32