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Idaho rates for HCPCS 22554

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.48 / $2,967.11 / $4,657.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,776.06 / $10,776.06 / $10,806.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.24 / $2,293.05 / $2,992.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,890.63 / $34,178.19 / $43,515.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $49,016.00