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New Jersey 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
$1,624.46 / $7,770.00 / $18,006.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.08 / $1,895.42 / $3,238.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.02 / $2,654.74 / $6,472.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.25 / $2,689.19 / $3,467.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.94 / $2,274.42 / $5,144.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,066.00 / $12,315.00 / $27,214.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.08 / $2,581.17 / $6,330.90