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California 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
$2,843.00 / $9,731.00 / $19,894.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.82 / $1,895.42 / $10,174.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,863.00 / $20,059.00 / $51,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.32 / $2,343.89 / $4,602.35
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $13,147.21
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.09 / $1,550.53 / $3,678.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.09 / $2,341.17 / $5,150.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.11 / $2,193.50 / $2,741.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.64 / $2,537.96 / $4,577.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $32,143.44 / $32,888.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,120.80 / $14,438.08 / $18,306.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.91 / $2,494.64 / $3,379.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.52 / $2,412.85 / $5,190.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,313.25 / $6,313.25 / $6,313.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.36 / $1,986.08 / $2,427.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,830.00 / $18,191.00 / $42,098.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.09 / $1,972.10 / $4,031.06