Does your insurance pay for Fusion? Is so, one option would be to fuse the L5/S1 and pay out of pocket for ADR at L4/5. Since the majority of the cost would be paid by insurance for the fusion your out of pocket cost for the disc would be $21,500 (at TBI). There are several financing avenues if you needed to go that route.
This is a hybrid and seems to have good results.
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2008 Back pain stared (M, 37, 5'11", 185#)
2009 MRI, Bilateral SI Joint Injection, PT, L4/5 Bi Lateral Facet Injection
2010 Acupuncture, Discogram, L4/5 and L5/S1 Bi Lateral Facet Injection, PT, L3/4, L4/5, L5/S1 Fibrin Sealant Injections
2011 Right leg pain started mainly with movement of the leg.
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