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Michigan 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
$2,705.97 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.06 / $2,260.67 / $2,810.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,821.84 / $11,527.95 / $15,618.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.79 / $1,968.89 / $3,465.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.35 / $2,252.65 / $4,122.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.05 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.36 / $2,319.78 / $3,429.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $1,384.96 / $2,402.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.32 / $2,410.92 / $3,472.85