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West 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
$512.82 / $801.84 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.53 / $537.53 / $676.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.25 / $574.25 / $574.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.33 / $56.33 / $56.33