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Alaska rates for HCPCS 22865

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,257.35 / $10,900.00 / $17,695.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.01 / $10,612.68 / $10,612.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,343.89 / $7,183.30 / $9,546.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,148.80 / $10,612.68 / $14,857.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,595.13 / $6,714.15 / $13,630.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,169.80 / $11,080.60 / $12,999.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,148.80 / $10,612.68 / $14,857.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.16 / $10,382.75 / $12,999.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,746.64 / $10,056.62 / $12,642.61