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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
$1,949.84 / $6,760.83 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,570.40 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,691.53 / $4,786.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,801.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,548.13 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $21,379.62 / $28,840.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,089.30 / $3,981.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $32,359.37 / $32,359.37
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $18,197.01 / $18,197.01