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South Dakota rates for HCPCS 22864

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

Facilitymedian $4,365 · 10th–90th $1,905–$6,3100%10%20%10th90th$4,365Professionalmedian $2,630 · 10th–90th $1,862–$5,1290%20%10th90th$2,630$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,365.16 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,905.46 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,365.16 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,162.28 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,548.13 / $14,791.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,466.84 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,365.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,630.78 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,388.44 / $5,370.32
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,011.87 / $5,011.87