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Nebraska 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
$4,241.22 / $11,100.08 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.78 / $2,356.87 / $9,815.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,353.94 / $4,380.60 / $4,380.60
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$376.63 / $700.90 / $700.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.49 / $3,369.69 / $4,728.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00