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North Dakota 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
$1,917.77 / $1,917.77 / $9,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.08 / $1,888.36 / $2,253.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,095.72 / $4,505.50 / $5,282.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.06 / $4,621.20 / $6,155.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.77 / $2,751.15 / $3,301.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.31 / $3,479.49 / $4,896.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.88 / $3,479.49 / $4,643.93