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Pennsylvania 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 $6,607 · 10th–90th $1,585–$10,9650%20%10th90th$6,607Professionalmedian $2,042 · 10th–90th $1,660–$3,5480%20%10th90th$2,042$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$1,584.89 / $6,606.93 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,041.74 / $3,467.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,630.27 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,238.72 / $4,073.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,162.28 / $4,168.69
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,398.83 / $3,388.44
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $4,786.30 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,995.26 / $3,090.30
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,388.44 / $4,168.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,995.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,995.26 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $10,471.29 / $56,234.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,238.72 / $4,073.80