go back

Utah rates for HCPCS 22865

Rmvl Tot Disc Arthrp Ant 1 Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,887.63 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.36 / $2,887.63 / $11,317.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.94 / $3,023.72 / $4,954.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $1,331.72 / $2,130.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,947.45 / $24,875.82 / $35,712.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,996.01 / $3,567.38 / $4,919.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.97 / $2,406.42 / $3,866.85