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Tennessee 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
$1,656.00 / $3,939.75 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.89 / $1,800.45 / $2,834.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,725.00 / $9,153.00 / $14,914.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.49 / $2,279.56 / $3,705.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.07 / $2,384.85 / $3,690.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $17,889.66 / $18,257.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,625.14 / $13,625.14 / $14,943.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $24,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.12 / $1,938.99 / $3,504.06