BC/BS of Florida
Hi everyone,
My NS and I decided to go ahead with ADR ProDisc L for L5-S1. BC/BS still denied coverage after my surgeon had a peer to peer with their medical representative. What's strange is that they agreed to pay for every cost involved in the surgery except for the actual disc itself. My surgical group originally told me that it cost $10,990 purchased from Synthes but they've since got it down to $2,200 dollars. Luckily, the company I work for has a self-funded insurance program and our CEO can override the decision. I'm waiting for his answer as I have a surgery date of Aug. 12th. Keeping my fingers crossed!!!
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Diagnosed herniated L5-S1 in Fed 2008
Had MUA by chiropractor April 2008
Had microdiscectomy in Jan 2009
2nd MRI in Apr 09 revealed severe DDD L5-S1
Two facet block injections June-July 09 (no help)
Physical therapy exacerbates pain
Had Prodisc L5-S1 implanted on Aug. 12th, 09
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