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North Carolina 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
$1,615.00 / $2,702.72 / $13,764.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.89 / $1,725.14 / $3,209.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.66 / $2,881.28 / $4,092.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.95 / $2,459.36 / $4,495.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.14 / $2,154.11 / $3,115.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.42 / $2,225.00 / $2,236.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $2,259.90 / $4,356.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,453.00 / $28,898.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.65 / $2,113.61 / $4,583.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $17,889.66 / $17,889.66
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,625.14 / $13,625.14 / $14,943.08