go back

South Carolina 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
$5,370.32 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $18,197.01 / $34,673.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $4,677.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,786.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $3,388.44