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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
$1,258.93 / $2,630.27 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,754.23 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,890.45 / $19,498.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $11,748.98 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $3,019.95