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Connecticut 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
$4,570.88 / $9,549.93 / $30,199.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,137.96 / $5,248.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $25,703.96 / $31,622.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,467.37 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,311.31 / $5,370.32
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $12,589.25 / $21,877.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,951.21 / $5,495.41