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Kentucky 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
$478.63 / $1,778.28 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $630.96 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28