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Missouri 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
$818.00 / $2,832.00 / $9,304.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,975.00 / $22,011.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,761.00 / $28,914.00 / $32,857.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.51 / $766.58 / $6,617.10
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.63 / $121.63 / $230.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,261.00 / $10,305.00