The Official Newsletter ofCentinel Spine®

Top Commercial Payer in Washington Establishes One-Level Positive Coverage for Lumbar Total Disc Replacement

Steve Sanderson

This March 1, 2024 coverage adoption represents almost 2.3 million covered lives.

Centinel Spine recently announced significant expansion of coverage for one-level lumbar total disc replacement (TDR) procedures in the state of Washington.

The policy expansion announced by Washington’s largest commercial payer—effective March 1, 2024—represents almost 2.3 million covered lives across the state.

This major positive coverage update continues the trend toward universal coverage for one-level lumbar TDR. Recently, the largest commercial payer in Tennessee, also representing 2.3 million covered lives, established positive coverage for both one- and two-level lumbar TDR procedures.

With this favorable coverage expansion in Tennessee and Washington, it is estimated that commercial coverage in the U.S. for one-level lumbar TDR has grown from 50% of covered lives in 2017 to nearly 95%* today. Commercial coverage in the U.S. for two-level lumbar TDR has made tremendous strides over the last two years, now with over 30% commercial coverage.

 

* Data on file, estimate based on combined positive and neutral policies.

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