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Louisiana 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
$900.00 / $3,027.63 / $5,604.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.83 / $3,027.63 / $4,092.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.81 / $3,024.55 / $3,721.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $2,147.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.83 / $3,065.06 / $4,139.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.53 / $2,469.94 / $4,379.95