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Maryland 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
$36,307.81 / $36,307.81 / $36,307.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $3,630.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,511.89 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $4,677.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,398.83 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,187.76 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $4,168.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,511.89 / $3,235.94