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Wyoming 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
$2,016.10 / $2,029.51 / $2,513.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,958.00 / $4,750.00 / $7,184.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,676.14 / $3,942.72 / $5,585.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,509.00 / $8,509.00 / $27,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.50 / $4,074.00 / $6,332.64