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Oklahoma 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
$1,346.00 / $4,928.00 / $16,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.64 / $2,216.58 / $17,345.00
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23