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California 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
$2,843.00 / $9,727.00 / $19,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.08 / $2,043.82 / $7,917.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.00 / $11,414.00 / $37,961.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.91 / $2,507.19 / $4,820.53
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $13,613.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.02 / $1,811.48 / $4,118.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.44 / $2,443.28 / $5,304.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.34 / $2,208.25 / $2,760.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.58 / $2,559.16 / $4,623.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $21,653.39 / $26,230.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,475.96 / $14,648.48 / $18,609.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,023.84 / $2,522.06 / $3,417.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.44 / $2,560.32 / $5,337.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,428.78 / $6,428.78 / $6,428.78
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.24 / $1,999.05 / $2,443.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.34 / $2,031.16 / $4,321.49