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Tennessee 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
$1,656.00 / $4,069.00 / $48,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,725.00 / $9,113.00 / $15,167.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,000.00 / $15,548.58 / $15,905.79
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,353.94 / $4,653.54 / $4,653.54
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$376.63 / $744.57 / $744.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $24,328.00