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Missouri 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
$2,035.00 / $5,691.00 / $13,913.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.68 / $1,781.55 / $2,795.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.00 / $7,458.00 / $29,822.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.00 / $1,957.04 / $3,253.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,761.00 / $28,914.00 / $32,857.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.01 / $2,306.79 / $3,701.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.61 / $2,672.33 / $9,475.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.26 / $2,364.38 / $13,625.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $6,058.00 / $23,853.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.10 / $2,124.00 / $3,499.46