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Nebraska 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
$4,241.22 / $11,100.08 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.94 / $1,592.24 / $8,629.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,727.80 / $3,727.80 / $3,727.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.77 / $2,586.65 / $3,463.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.78 / $3,852.65 / $5,242.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.24 / $2,786.42 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.80 / $3,437.72 / $4,850.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.33 / $3,437.16 / $5,450.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.96 / $3,437.16 / $5,242.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.80 / $3,660.96 / $4,839.68