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Nebraska 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
$4,241.22 / $10,431.19 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.88 / $1,732.88 / $10,174.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.70 / $2,868.23 / $3,824.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.00 / $4,241.97 / $5,686.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.88 / $3,032.54 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.41 / $3,790.52 / $5,246.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.67 / $3,932.05 / $6,294.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.23 / $3,932.05 / $5,686.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.64 / $3,455.17 / $3,854.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.96 / $3,459.61 / $4,680.22