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Alaska rates for HCPCS 22857

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,087.85 / $11,709.00 / $41,255.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.17 / $8,629.18 / $8,629.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,367.22 / $5,887.46 / $7,516.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.12 / $8,629.18 / $12,080.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,272.97 / $5,127.57 / $10,409.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,356.25 / $8,823.60 / $10,484.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.12 / $8,629.18 / $12,080.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,608.02 / $8,700.45 / $10,866.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,530.52 / $8,242.43 / $10,361.91