Arizona’s second-largest commercial payer has issued new evidence-based criteria supporting one- and two-level total lumbar disc replacement (TDR), expanding access to this treatment option to more than one million people statewide.
This represents a significant change from the payer’s previous policy that did not cover lumbar TDR.
Reimbursement coverage for the prodisc L system continues to expand in the US, with one tier at nearly 95% and two tiers now in more than 40% of commercially covered lives.1
prodisc L is the only lumbar total disc replacement system in the US approved for single- and two-level use in the lumbar spine.
WEST CHESTER, Pa., Dec. 2, 2025 /PRNewswire/ — Centinel Spine®, LLC (“the Company”), the world’s leading medical device company focused exclusively on the treatment of cervical and lumbar spine diseases with the world’s most comprehensive and clinically proven total disc replacement (TDR) technology platform (prodisc®), today announced a major advancement in coverage for lumbar TDR in Arizona. Arizona’s second-largest commercial payer has released updated clinical coverage criteria supporting the medically necessary use of lumbar TDR at one or two consecutive levels (L3-S1) in appropriately selected patients, using an FDA-approved device.
Because the prodisc L is the only lumbar TDR device with FDA approval for two-level use, the updated coverage applies exclusively to use of the prodisc L device. The prodisc system is designed to replace the diseased disc while allowing continuous motion at the treated level, consistent with maintaining segmental spinal function when clinically appropriate.
This policy update reflects a continuing national trend toward expanding access to lumbar total disc replacement based on long-term clinical evidence and surgeons’ experience in diverse patient populations. Commercial coverage in the US for single-level lumbar TDR is estimated to have increased from 50% of covered lives in 2017 to nearly 95% today. Commercial coverage in the US for two-level lumbar TDR has made tremendous strides in recent years, and now has over 40% commercial coverage.
“This is good news for patients across Arizona,” said Karam Moon, MD, FAANS, a neurosurgeon at SWAN Brain & Spine in Scottsdale, Arizona. “With clear coverage for single- and two-level total lumbar disc replacement, we can now have more open conversations with our patients about whether disc replacement is the right treatment for their needs. I look forward to offering this option to people who can benefit from it.”
1 Data on file, estimate based on combined positive and neutral policies.
About Centinel Spine, LLC
Centinel Spine®, LLC is the world’s leading medical device company focused exclusively on addressing cervical and lumbar spine diseases with prodisc®, the world’s most comprehensive total disc replacement (TDR) technology platform.
The company’s prodisc technology is the most studied and clinically tested TDR system in the world, validated by more than 540 published articles and more than 300,000 implants. Centinel Spine’s prodisc is the only TDR technology with multiple motion-preserving anatomical solutions, allowing the surgeon to Match-the-Disc™ with each patient’s anatomy for cervical and lumbar total disc replacement.
For more information, please visit the company’s website at www.CentinelSpine.com or contact:
Varun Gandhi
CFO
900 Airport Road, Suite 3B
West Chester, Pennsylvania 19380
Phone: 484-887-8871
Email: v.gandhi@centinelspine.com
SOURCE Centinel Spine, LLC
