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West Virginia 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
$1,400.00 / $2,057.23 / $3,261.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.44 / $2,141.88 / $2,910.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.52 / $2,526.00 / $2,752.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.00 / $2,446.33 / $2,446.33
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
$1,953.00 / $2,854.05 / $6,137.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.77 / $2,214.37 / $3,234.26