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Missouri rates for HCPCS 22558

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.42 / $5,560.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.00 / $8,563.00 / $24,547.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.75 / $2,373.92 / $11,000.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,353.94 / $2,353.94 / $4,380.60
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$376.63 / $376.63 / $700.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $8,388.00 / $23,526.00