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New Mexico 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
$1,000.00 / $7,838.38 / $8,226.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.08 / $1,995.23 / $7,179.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.16 / $2,384.55 / $3,732.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,279.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.85 / $2,016.10 / $2,910.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.36 / $2,602.96 / $5,009.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.00 / $21,608.00 / $23,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.75 / $2,638.60 / $4,072.49