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Tennessee 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
$1,821.00 / $4,069.00 / $55,425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.52 / $1,967.84 / $3,054.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,420.00 / $9,113.00 / $15,017.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.42 / $2,355.17 / $3,842.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.91 / $2,539.13 / $4,055.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $32,143.44 / $32,888.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,120.80 / $14,438.08 / $18,306.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $19,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.16 / $2,149.02 / $4,100.32