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Minnesota 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
$1,725.39 / $1,725.39 / $7,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.16 / $1,725.39 / $2,757.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.93 / $14,268.42 / $27,115.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.63 / $4,888.17 / $6,378.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,123.28 / $5,850.34 / $14,073.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,093.60 / $4,928.03 / $7,318.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,748.44 / $5,348.62 / $11,081.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.85 / $4,406.00 / $6,711.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.55 / $3,199.18 / $7,527.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.94 / $3,450.50 / $7,005.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.94 / $3,450.50 / $6,676.11