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California 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
$3,089.46 / $10,004.00 / $21,960.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.94 / $1,666.37 / $4,723.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,990.00 / $14,419.00 / $49,214.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.14 / $2,354.62 / $4,889.33
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $100.00 / $7,373.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.27 / $1,474.08 / $3,446.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,876.00 / $6,876.00 / $6,876.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.47 / $2,115.27 / $4,707.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.40 / $1,959.70 / $2,449.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.08 / $2,226.60 / $3,783.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $14,637.96 / $18,257.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,625.14 / $13,625.14 / $14,943.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.57 / $2,199.88 / $2,997.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.47 / $2,206.96 / $4,696.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,731.55 / $5,731.55 / $5,731.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.61 / $1,669.32 / $2,173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,830.00 / $18,315.00 / $43,423.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.11 / $1,817.02 / $3,900.51