go back

Kansas 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
$3,500.00 / $7,655.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.85 / $2,065.15 / $3,088.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.67 / $2,892.56 / $2,892.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $17,112.00 / $17,112.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.83 / $2,591.10 / $4,039.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.99 / $2,654.21 / $8,415.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.67 / $2,385.76 / $14,438.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.00 / $8,000.00 / $17,483.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.23 / $2,385.76 / $3,360.80