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North Carolina 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
$2,050.62 / $3,082.67 / $13,764.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.63 / $2,199.29 / $4,067.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.04 / $3,583.42 / $5,471.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.95 / $3,004.75 / $5,188.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,188.69 / $2,626.43 / $3,776.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,544.00 / $2,544.00 / $2,867.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $2,943.60 / $5,436.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.33 / $2,509.46 / $5,400.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $22,939.11 / $22,939.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,962.64 / $15,962.64 / $20,346.30