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Oklahoma 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
$1,392.00 / $4,928.00 / $16,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.62 / $2,406.33 / $2,536.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.63 / $2,650.60 / $3,328.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.98 / $3,078.58 / $18,992.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.31 / $2,410.79 / $16,414.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.09 / $2,290.25 / $3,399.21