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Massachusetts 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
$988.00 / $2,096.25 / $4,088.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $6,617.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.63 / $121.63 / $239.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $783.72 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.75 / $1,931.75 / $1,931.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,217.00 / $6,617.10
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.63 / $121.63 / $239.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00