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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
$1,972.52 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.70 / $2,241.98 / $3,643.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,820.00 / $9,292.00 / $15,289.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.85 / $2,735.56 / $4,376.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.19 / $2,854.16 / $4,492.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $23,487.30 / $24,045.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,408.43 / $16,414.72 / $20,835.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $19,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.09 / $2,435.21 / $4,649.80