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Virginia 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
$1,987.25 / $6,827.70 / $13,639.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.38 / $1,987.25 / $2,719.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,976.00 / $54,001.38 / $75,212.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.19 / $2,060.11 / $3,405.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.21 / $2,030.21 / $19,314.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,977.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.56 / $2,205.73 / $3,893.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.45 / $2,120.26 / $2,488.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.08 / $2,253.54 / $3,279.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.93 / $2,501.00 / $3,304.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.41 / $2,178.06 / $7,420.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.41 / $2,178.06 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,621.00 / $25,197.00 / $42,546.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.42 / $2,009.07 / $3,394.73