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Fusion Of An Additional Level Of The Spine

South Dakota rates for HCPCS 22585

Covers fusing a further level of the spine during an operation in which the surgeon reaches the spine from the front. The disc space at the extra level is prepared and packed with bone so the two vertebrae grow together. It is billed in addition to the main fusion.

Facilitymedian $501 · 10th–90th $302$4,3650%20%10th90th$501Professionalmedian $525 · 10th–90th $126$6610%10%20%10th90th$525$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$724.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$660.69
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32