go back

Connecticut 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
$4,090.00 / $8,031.00 / $11,356.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.89 / $1,961.55 / $4,381.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,407.00 / $21,442.57 / $69,197.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.76 / $3,010.46 / $4,146.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $843.00 / $843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.90 / $2,866.80 / $4,438.88
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.67 / $20,602.00 / $21,024.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.62 / $2,243.88 / $3,007.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,838.00 / $14,587.00 / $21,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.73 / $3,159.46 / $5,212.88