go back

Nebraska 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
$4,241.22 / $10,431.19 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.52 / $1,923.52 / $11,317.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.59 / $3,181.69 / $4,242.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.61 / $4,621.97 / $5,907.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.52 / $3,366.16 / $8,220.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.01 / $4,198.34 / $5,834.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.89 / $4,395.01 / $6,999.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,011.76 / $4,359.22 / $6,061.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.01 / $4,243.78 / $5,526.78