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New York 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

Facilitymedian $6,918 · 10th–90th $2,399$15,4880%10%10th90th$6,918Professionalmedian $2,188 · 10th–90th $1,660$5,6230%20%10th90th$2,188$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,370.32 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,137.96 / $5,248.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,964.78 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,041.74 / $4,897.79
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $3,467.37 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,951.21 / $9,549.93
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,801.89 / $8,511.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,235.94 / $4,897.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,630.27 / $4,265.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,818.38 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $7,762.47 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,818.38 / $6,456.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,388.44 / $4,073.80
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,630.27 / $4,677.35