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Wyoming rates for HCPCS 22865

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.13 / $2,255.75 / $2,790.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,396.00 / $5,275.00 / $7,981.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,833.06 / $4,249.59 / $6,197.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.92 / $4,271.76 / $7,179.89