Large commercial payers in 4 states add lumbar disc replacement coverage

Large commercial payers in Illinois, Texas, New Mexico and Oklahoma now cover one- and two-level lumbar disc replacement. 

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The payer adopted Carleon’s Clinical Appropriateness Guidelines for musculoskeletal and spine surgery which cover Centinel Spine’s Prodisc L lumbar disc replacement implant, the medtech company said in a Nov. 14 news release.

Prodisc L is the only total disc replacement device approved by the FDA for two-level lumbar disc replacement. 

The new payer update went into effect in August. In September a commercial payer in Michigan added one- and two-level disc replacement coverage, and in October a commercial payer in North Carolina followed suit.

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