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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,187.76 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $8,709.64 / $30,199.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,715.35 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,754.23 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,715.35 / $5,011.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $23,988.33 / $31,622.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,890.45 / $4,365.16
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $12,022.64 / $66,069.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,691.53 / $4,073.80