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Nebraska 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
$4,241.22 / $10,431.19 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.06 / $1,757.79 / $9,718.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.30 / $2,906.77 / $3,875.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,781.00 / $4,311.54 / $5,789.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,757.79 / $3,076.13 / $8,220.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.06 / $3,660.65 / $5,340.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.06 / $4,426.71 / $6,405.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,967.92 / $4,220.58 / $5,789.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.06 / $3,963.79 / $5,061.67