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Pennsylvania 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
$536.00 / $2,705.50 / $6,924.24
Aetna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$8,784.43 / $8,784.43 / $8,784.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.12 / $450.12 / $450.12
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$276.13 / $276.13 / $276.13
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$44.18 / $44.18 / $44.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.96 / $1,660.26 / $4,095.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.96 / $2,266.00 / $7,197.00
Martin's Point
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$8,784.43 / $8,784.43 / $8,784.43
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.12 / $450.12 / $450.12
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$276.13 / $276.13 / $276.13
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$44.18 / $44.18 / $44.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.93 / $385.93 / $475.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$377.50 / $377.50 / $377.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00