go back

Missouri rates for HCPCS 22552

Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,511.89 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,471.29 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $17,378.01 / $20,417.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $691.83 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$588.84 / $1,122.02 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.50 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $10,964.78