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Idaho 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
$4,500.00 / $4,657.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.38 / $2,887.63 / $4,390.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.31 / $3,173.75 / $3,768.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.83 / $3,732.30 / $5,049.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,692.78 / $3,916.59 / $5,034.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,003.59 / $3,778.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,703.82 / $18,472.14 / $30,479.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,900.52 / $4,588.85 / $5,034.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.12 / $3,407.54 / $4,562.60