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Montana rates for HCPCS 22856

Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,676.20 / $6,676.20 / $6,676.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.73 / $2,582.73 / $2,582.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.36 / $1,750.88 / $3,030.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.39 / $2,017.39 / $36,780.10