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Nebraska 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
$1,548.82 / $3,801.89 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $15,488.17 / $30,199.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $758.58 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.03 / $229.09 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88