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Virginia 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
$580.33 / $3,375.58 / $8,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.25 / $574.25 / $640.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.33 / $56.33 / $56.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.68 / $603.41 / $713.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.40 / $671.65 / $948.67
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$94.49 / $95.91 / $185.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.75 / $656.61 / $1,222.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00