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Ohio 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
$2,292.00 / $6,957.37 / $14,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.07 / $2,046.71 / $4,660.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.00 / $30,285.00 / $53,822.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.93 / $2,189.15 / $3,561.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.67 / $2,036.36 / $2,965.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.19 / $2,196.07 / $2,795.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.03 / $2,795.01 / $3,910.01
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.37 / $2,368.37 / $2,368.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.73 / $2,795.01 / $3,847.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.49 / $1,439.57 / $2,484.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.19 / $2,573.16 / $4,292.60