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North Carolina 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
$1,615.00 / $2,882.90 / $13,764.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.42 / $1,967.84 / $3,819.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.51 / $2,824.63 / $4,358.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.79 / $2,753.09 / $5,052.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.84 / $2,021.10 / $3,636.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.10 / $2,386.00 / $2,583.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $3,018.11 / $3,277.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,463.00 / $29,047.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.38 / $2,321.96 / $4,847.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $32,143.44 / $32,143.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,120.80 / $18,306.30 / $18,306.30