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Tennessee 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
$1,789.20 / $3,939.75 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.06 / $2,026.68 / $3,255.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,042.00 / $8,300.00 / $13,734.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.73 / $2,601.75 / $4,192.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.30 / $2,719.32 / $4,192.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $25,623.07 / $26,230.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,475.96 / $14,648.48 / $18,609.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.79 / $2,306.91 / $4,246.24