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Massachusetts 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

Facilitymedian $4,074 · 10th–90th $2,344–$8,1280%10%10th90th$4,074Professionalmedian $2,399 · 10th–90th $1,778–$5,3700%10%10th90th$2,399$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,073.80 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,041.74 / $4,365.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $6,309.57 / $42,657.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,818.38 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,884.03 / $5,754.40
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,691.53 / $4,265.80
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,691.53 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,918.31 / $20,417.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,715.35 / $5,623.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $6,309.57 / $42,657.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,818.38 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $6,918.31 / $33,884.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,019.95 / $6,165.95