go back

Tennessee 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
$1,288.25 / $3,162.28 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $9,549.93 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,090.30 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,818.38 / $4,365.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $23,442.29 / $23,442.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,595.87 / $20,892.96 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,232.93 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,398.83 / $4,265.80