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Indiana 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
$549.54 / $3,467.37 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,047.13 / $42,657.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $489.78 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,238.72 / $7,413.10