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Maine 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
Professional
Modifier
Low / Median / High Price
$1,380.50 / $2,039.09 / $2,481.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,700.76 / $80,886.58 / $94,079.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.61 / $2,757.26 / $3,931.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,095.38 / $2,977.81 / $4,255.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.59 / $2,970.70 / $4,557.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.50 / $1,796.98 / $2,481.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.16 / $2,545.94 / $3,953.11