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Tennessee 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
$1,925.54 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.91 / $2,188.69 / $3,557.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,042.00 / $8,232.00 / $13,734.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.89 / $2,756.57 / $4,351.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,124.48 / $2,878.03 / $4,435.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $22,939.11 / $23,472.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,962.64 / $16,025.68 / $20,346.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.90 / $2,432.96 / $4,566.47