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Minnesota 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
$1,905.46 / $1,905.46 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,949.84 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $13,803.84 / $32,359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $6,918.31 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,495.41 / $8,317.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,606.93 / $12,882.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,677.35 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,630.78 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,548.13 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,128.31 / $28,183.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,467.37 / $7,079.46