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Louisiana 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
$1,023.29 / $3,162.28 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,137.96 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $9,549.93 / $13,182.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,691.53 / $3,311.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,691.53 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $10,000.00 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,089.30 / $3,715.35