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Michigan 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
$2,955.33 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.22 / $2,790.12 / $3,069.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,603.79 / $11,272.04 / $15,271.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.03 / $2,239.59 / $3,790.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.88 / $2,398.19 / $4,508.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,142.64 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.64 / $2,464.03 / $3,501.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $1,578.22 / $2,687.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.78 / $2,559.37 / $3,398.90