go back

South Dakota 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
$1,541.11 / $12,735.86 / $12,735.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.39 / $2,553.08 / $4,119.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.00 / $4,319.85 / $32,912.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.27 / $2,714.86 / $3,193.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$613.33 / $613.33 / $613.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $36,780.10