go back

Montana 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
$3,466.96 / $3,466.96 / $3,466.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.07 / $623.07 / $623.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.99 / $383.74 / $741.29