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Alaska rates for HCPCS 22864

Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,730.12 / $10,900.00 / $17,695.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.77 / $9,718.48 / $9,718.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,896.49 / $6,589.85 / $8,728.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.50 / $9,718.48 / $13,605.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,115.60 / $6,138.72 / $12,462.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,493.75 / $10,275.28 / $12,596.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.50 / $9,718.48 / $13,605.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,972.29 / $10,155.79 / $13,373.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,271.88 / $7,953.18 / $11,598.14