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Washington 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
$622.16 / $2,769.52 / $17,930.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $8,074.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$69.51 / $230.56 / $230.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.04 / $1,001.01 / $1,339.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.82 / $955.17 / $1,012.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.33 / $676.33 / $690.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $648.00 / $6,216.00