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Washington rates for HCPCS 22865

Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar

Facilitymedian $5,129 · 10th–90th $2,570–$23,9880%10%10th90th$5,129Professionalmedian $3,020 · 10th–90th $1,862–$5,7540%10%10th90th$3,020$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $7,943.28 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,691.53 / $5,248.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $35,481.34 / $70,794.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,466.84 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,548.13 / $6,606.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,168.69 / $8,709.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,073.80 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $4,570.88
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,162.28
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,570.88 / $6,025.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $35,481.34 / $70,794.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,466.84 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $21,379.62 / $41,686.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,162.28 / $5,888.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,511.89 / $4,466.84