go back

Indiana 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
$1,386.00 / $2,033.54 / $10,985.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.64 / $1,973.87 / $2,460.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,526.00 / $48,911.42 / $70,653.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.99 / $1,999.92 / $2,759.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.10 / $1,950.44 / $2,206.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.04 / $2,236.50 / $3,177.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,475.00 / $14,307.00 / $19,962.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.43 / $2,084.98 / $3,766.92