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California rates for HCPCS 22858

Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.95 / $5,545.00 / $17,902.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $9,747.00 / $18,903.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $1,684.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $7,500.00 / $7,500.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.56 / $528.46 / $660.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.65 / $626.74 / $1,120.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $6,617.10 / $8,074.08
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$98.31 / $230.56 / $239.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.18 / $608.79 / $829.95
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.33 / $56.33 / $163.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,551.00 / $6,323.00