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Kentucky 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
$991.00 / $1,774.71 / $7,702.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.16 / $1,666.37 / $2,199.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $26,311.85 / $79,432.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.84 / $1,570.23 / $2,340.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.39 / $2,194.17 / $2,605.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.07 / $2,200.21 / $3,226.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,977.73 / $1,977.73 / $1,977.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.69 / $2,319.96 / $3,508.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,097.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.00 / $6,186.00 / $19,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.46 / $2,129.11 / $3,357.51