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Utah 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
$3,090.30 / $8,709.64 / $12,882.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $31,622.78 / $93,325.43
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,691.53 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $15,848.93