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  #41  
Old 10-07-2015, 10:17 PM
Cheryl0331 Cheryl0331 is offline
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Arrow a word of caution

Don't pick your doctor based on price. Two Germany surgeons gave me way lower costs than did Clavel, but I went with Dr. Clavel because his assessment was the most accurate and complete.
I would have most likely needed another surgery within a year or so if I had gone another direction.
Remember Dr. Clavel is in high demand for a reason. He and his staff, his hospital are worth the wait. While right now is a busy with others someday that will be you he is busy for while someone else waits in turn behind you. When you're in a doctors office you want them to spend time with you but yet you get impatient while waiting to be called back. If I needed any other spine surgery; I would not hesitate to go back to Dr. Clavel. Do you homework and make an informed choice. Be well and God bless.
__________________
53 yr old female 5'7" 141 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prothesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a cp-ESP prothesis by Dr. Schmitz Dusseldorf Germany
  #42  
Old 12-25-2015, 11:49 PM
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cfbugsbunny cfbugsbunny is offline
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Dr. Clavel was anywhere between 30-40K depending on exchange rate and what's being done. I unfortunately needed surgery when rate was high. Now it is significantly cheaper. This rate includes the PT, hotel stay before and after and any testing / followup visits during your stay. The only extra I needed to cover was my plane flight and meals and misc expenses. I personally thought this to be extremely cheap.
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Mark
July 2009: Two level ADR performed at Stenum Hospital in Germany. Spinal Kinetics M6 - Dr. Ritter Lang

March 2011: Removal of previous M6 due to auto-fusing over implants. Fusion at C5-7 and new M6 ADRs at C4-5 and C7-T1 with Dr. Clavel

January 2013: Lumbar surgery with M6-L at L3-5 and single level BalanC at L2-3 with Dr. Clavel

  #43  
Old 04-21-2016, 06:00 PM
Cheryl0331 Cheryl0331 is offline
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Default Last May 2015

I paid $32K USD for my two level M6-C - my guess it at least $27K for one level.
__________________
53 yr old female 5'7" 141 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prothesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a cp-ESP prothesis by Dr. Schmitz Dusseldorf Germany
  #44  
Old 07-11-2016, 10:49 PM
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Harrison Harrison is offline
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Default US Pricing -- Benchmark from Texas Back

Hey everyone,

It's been years since I've collected, analyzed and lamented about pricing for spinal disc replacement. Here's "stage 1" of this rather perfunctory project. It's a document I put together just now.

Some good news for BCBS subscribers in five states -- 2 level cervical ADR is covered. Lumbar is still almost twice the cost of cervical -- no changes there. Which is nutty.

See PDF attached.
Attached Files
File Type: pdf Benchmark Pricing for US ADR.pdf (152.0 KB, 105 views)
__________________
"Harrison" - info (at) adrsupport.org
Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston
Founder & moderator of ADRSupport - 2004
Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006
Creator & producer, Why Am I Still Sick? - 2012
Donate www.arthropatient.org/about/donate
  #45  
Old 07-11-2016, 11:24 PM
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Cynlite Cynlite is offline
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Great info Harrison and thanks for gathering that data for everyone!

TBI still leads the charge in the U.S. as expected. They have some of the best surgeons with the most experience in the U.S. and best prices IMO for ADR. The three level cost for cervical is pretty comparable to Europe. The difference with Dr. Clavel is that he includes physical therapy plus, two nights in a first class hospital, one week hotel is covered, plus one year health insurance on the surgery. My care was more concierge and I was watched for three weeks. The insurance is specific to the surgery not new disc levels and requires one to go back to Spain at their own cost to the same surgeon who did the surgery if there is a complication. So, it's hard to do an apples to apples comparison but, they are pretty darn close. If a person's insurance covers them in the U.S. then the surgery would certainly be less expensive. I think a three level Mobi-C in the U.S. would be less than a 3 level M6-C in the end in Spain without all the other things I mentioned at TBI. All the other surgeons and hospitals in the U.S. are all over the place on what they charge. Then the question comes down to the disc. There are lots of opinions out there about what is the best disc. I've learned my lesson to stay out of that debate here.

The last piece of the puzzle is does a person leave their state or country to get surgery? IMO, the surgeon makes all the difference to the outcome. If you leave your state or country, you are somewhat locked into going back to the same surgeon if things don't go well for you but, not always. There are surgeons in many cities that will be happy to remove an ADR and fuse. That would not be my choice but, it is still an option. If staying in the U.S., I still agree that TBI is one of the best options with the best probability of a good outcome. It's not as big a deal to travel back to them if there are complications. The odds of complications are less with them too IMO compared to other U.S. surgeons. My opinions are all subjective of course. Also, can they do a three level ADR in one surgery in the U.S.? I thought we were limited to a two level Mobi-C for cervical.

There is one surgeon in New York that has caught my attention for cervical patients but, I'll wait until I have more info. to share on him.
__________________
2006: epidural shots did nothing; 2 surgeons recommended 2 level fusion, I declined.
2007 - 2010 4 foraminotomy and cord decompression cervical surgeries and 2 endoscopic discectomy T7-T8 surgeries; total 6 with Dr. Jho (Pittsburgh,PA) My C6/C7 autofused around 2009.
2013 - 2015: epidurals 3 times (again did nothing) and 4 Radiofrequency ablation (or RFA) procedures.
2016 more RFAs, hit the 10 year mark of this insanity and pain, 3 level M6-C ADR with Dr. Clavel May 19, 2016
  #46  
Old 07-12-2016, 01:40 AM
bigsky bigsky is offline
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I am a 3-level cervical ADR candidate, as evaluated by US and overseas surgeons. Was told only one level ADR could be done at TBI, and 2 levels fused. Glad to hear 2 levels now approved. I, too, am interested to know if anyone does (or is allowed to do) 3 level ADR. I would appreciate hearing from other 3-level post-op patients with a private message. Thanks so much!
__________________
1987 Rear ended in car accident, MRI: Disc Herniation C5-6
2008 Lumbar injury during sacral colpopexy
2011 2-level M6 (L5S1 - L4L5) ADR by Mr. Nick Boeree
2016 Candidate for 3-level Cervical ADR with Dr. Clavel
  #47  
Old 07-12-2016, 12:01 PM
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Cynlite Cynlite is offline
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I just checked the manufacturer's website and the FDA publication for the Mobi-C. Both still say it's approved for a two level ADR. Not sure how TBI is doing a three level cervical ADR in the United States.

http://www.fda.gov/MedicalDevices/Pr.../ucm367809.htm

http://www.cervicaldisc.com/

BigSky, I stopped private messaging because there were just too many messages and it got too much for me trying to keep up with all of them while I'm healing post surgery. There are not many of us three level cervical patients on this Board. Phillyjoe and I are the most recent. The others were quite a few years ago. I've written everything I know in my threads so, hopefully the information there will help you. I got much of my information by contacting the surgeon's offices directly and reading the post surgery forum.
__________________
2006: epidural shots did nothing; 2 surgeons recommended 2 level fusion, I declined.
2007 - 2010 4 foraminotomy and cord decompression cervical surgeries and 2 endoscopic discectomy T7-T8 surgeries; total 6 with Dr. Jho (Pittsburgh,PA) My C6/C7 autofused around 2009.
2013 - 2015: epidurals 3 times (again did nothing) and 4 Radiofrequency ablation (or RFA) procedures.
2016 more RFAs, hit the 10 year mark of this insanity and pain, 3 level M6-C ADR with Dr. Clavel May 19, 2016
  #48  
Old 07-15-2016, 10:38 PM
RiverMiles RiverMiles is offline
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Join Date: Jul 2016
Posts: 19
Default Sooo, Aetna... CPB review.

Quote:
Originally Posted by Harrison View Post
Hey everyone,

It's been years since I've collected, analyzed and lamented about pricing for spinal disc replacement. Here's "stage 1" of this rather perfunctory project. It's a document I put together just now.

Some good news for BCBS subscribers in five states -- 2 level cervical ADR is covered. Lumbar is still almost twice the cost of cervical -- no changes there. Which is nutty.

See PDF attached.
Hey Harrison - Great info.
Do you know if the information on the attachment takes into account Aetna's scheduled policy review for intervertebral disc prostheses? http://www.aetna.com/cpb/medical/data/500_599/0591.html

It was scheduled for July 8 but policy reviews have between running behind this year. I was told that the review has not been completed yet and the website shows no update as of yet. But, the attachment says, "as of July," and it's TBI so they may well have intel of a policy change, or a policy not changed, before it has been announced.
Thanks again for this pricing and coverage info.
__________________
Nov-Dec 2015 - 10 miles in the kayak, a N. GA mt summit, a 12-mile day-trek.
Late Dec '15-Mar '16 - Years of "normal" tension in my neck became radiculopathy w/ neuro deficits / Standard conservative treatments. / MRI reveals C5-C7 unpleasantness.
Apr 18th, 2016 - 2LVL ADR scheduled for May 3rd!.......Apr 29th, 2016 - Surgery unscheduled by insurance co.
May 2016 to present - Appealing. Summit the couch daily; trek to restroom/kitchen as necessary.
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