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Texas 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
$1,051.00 / $3,762.00 / $13,401.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.76 / $1,995.23 / $3,226.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.86 / $3,950.90 / $9,413.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,943.90 / $2,037.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.28 / $2,326.28 / $2,326.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.39 / $2,472.09 / $3,808.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $32,143.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,120.80 / $14,438.08 / $18,306.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.21 / $2,273.13 / $4,173.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,518.58 / $3,022.29 / $3,747.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.46 / $3,433.84 / $7,557.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.21 / $2,280.94 / $4,546.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.40 / $2,557.13 / $4,003.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $9,027.00 / $20,955.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.40 / $2,085.63 / $3,273.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.62 / $1,949.96 / $2,678.33