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Wisconsin 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
$359.90 / $1,472.04 / $7,270.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $11,302.00 / $14,586.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.04 / $453.65 / $590.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.77 / $1,099.35 / $1,686.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.90 / $503.86 / $837.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.07 / $753.28 / $15,743.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.90 / $503.86 / $837.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.67 / $943.27 / $1,408.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,313.44 / $6,313.44 / $6,313.44
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,126.85 / $1,126.85 / $1,126.85
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$180.30 / $180.30 / $180.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,991.00 / $27,414.00