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South Carolina 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
$6,025.60 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,344.23 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $23,442.29 / $44,668.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,290.87 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,691.53 / $5,248.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $5,370.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,754.23 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $3,548.13