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Ohio 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
$2,459.17 / $6,756.00 / $14,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.84 / $2,235.62 / $4,451.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,920.00 / $30,285.00 / $53,822.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.55 / $1,976.52 / $3,387.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.99 / $2,225.44 / $2,618.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.17 / $2,957.40 / $4,145.43
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,586.94 / $2,586.94 / $2,586.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.83 / $3,054.16 / $4,145.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.51 / $1,576.55 / $2,741.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.24 / $2,628.67 / $4,246.71