go back

Washington, DC 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
$1,614.00 / $4,144.00 / $8,043.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.88 / $2,141.88 / $2,141.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.06 / $1,941.06 / $19,222.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.66 / $3,254.32 / $5,692.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.94 / $4,723.10 / $4,723.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,840.00 / $10,006.00 / $47,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.10 / $2,725.09 / $5,718.40