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Wisconsin rates for HCPCS 22533

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,311.31 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,897.79 / $7,762.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,311.31 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,311.31 / $17,782.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $5,623.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $16,982.44 / $16,982.44
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$416.87 / $416.87 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $16,982.44 / $22,387.21