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New York rates for HCPCS 0163T

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (List separately in addition to code for primary procedure)

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,417.63 / $2,417.63 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.63 / $2,417.63 / $2,417.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.34 / $1,915.34 / $2,104.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.34 / $1,915.34 / $2,104.98