go back

New Hampshire 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
$2,398.83 / $6,918.31 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $11,220.18 / $28,183.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,466.84 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,630.78 / $6,918.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $12,589.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,890.45 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,548.13 / $6,456.54
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $2,754.23