go back

West 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
$1,400.00 / $1,751.10 / $3,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.37 / $1,824.43 / $2,680.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.34 / $1,851.34 / $2,266.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.96 / $2,014.96 / $2,014.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,977.73 / $1,977.73 / $1,977.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.10 / $2,350.78 / $5,631.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.42 / $1,804.52 / $2,686.61