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West Virginia 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
$1,412.54 / $2,344.23 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,290.87 / $3,715.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $3,162.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,467.37 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $48,977.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $3,715.35