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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,828.53 / $1,828.53 / $2,355.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.26 / $3,011.52 / $4,368.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.33 / $2,728.01 / $4,368.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.55 / $2,699.19 / $7,976.64