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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
$1,506.15 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,766.83 / $15,476.59 / $29,936.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.02 / $764.79 / $1,775.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.63 / $230.56 / $230.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.64 / $972.59 / $1,556.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00