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Alaska rates for HCPCS 22586

Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,621.77 / $10,900.00 / $17,695.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.64 / $9,534.70 / $9,534.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,798.97 / $6,440.68 / $8,591.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.64 / $9,534.70 / $13,348.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,037.14 / $6,044.58 / $12,271.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,367.50 / $9,943.29 / $12,396.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.43 / $9,534.70 / $13,348.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,918.04 / $9,222.50 / $12,823.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,152.54 / $9,016.95 / $11,335.59