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Oklahoma 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
$1,392.00 / $4,928.00 / $16,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.64 / $2,111.04 / $2,224.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.46 / $2,315.64 / $3,138.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,884.10 / $2,704.54 / $19,664.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.70 / $2,172.00 / $3,782.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.49 / $2,110.88 / $2,995.23