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Maryland rates for HCPCS 22864

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.59 / $2,170.89 / $4,660.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.78 / $2,595.78 / $2,855.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.73 / $2,592.77 / $4,759.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.29 / $2,890.83 / $4,367.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.38 / $2,274.23 / $4,521.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.21 / $2,577.09 / $3,087.56