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West Virginia 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
$14,550.90 / $14,550.90 / $15,788.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.65 / $1,538.60 / $1,676.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.48 / $1,438.48 / $1,438.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.94 / $142.94 / $142.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,487.28 / $4,487.28 / $4,487.28