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Minnesota 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
$470.56 / $470.56 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $389.03 / $3,473.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.58 / $1,604.13 / $3,858.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.33 / $56.33 / $56.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.80 / $1,466.56 / $3,038.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.56 / $814.75 / $1,727.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.63 / $121.63 / $121.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00