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Missouri 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
$2,035.00 / $5,560.00 / $13,095.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.14 / $2,065.15 / $3,088.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.00 / $8,563.00 / $24,547.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.70 / $2,129.71 / $3,293.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.15 / $2,628.00 / $4,250.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.14 / $2,704.97 / $10,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.25 / $2,649.15 / $14,438.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $7,904.00 / $19,082.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.98 / $2,490.42 / $4,172.55