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Wyoming rates for HCPCS 22864

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.82 / $2,063.44 / $2,550.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,021.00 / $4,825.00 / $7,301.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,723.07 / $4,026.88 / $5,663.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.92 / $4,161.06 / $6,467.97