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Virginia 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
$2,581.21 / $8,517.00 / $30,000.00
Aetna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$8,517.00 / $8,517.00 / $8,517.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,700.57 / $57,418.74 / $75,212.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,738.20
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,073.02 / $1,073.02 / $1,073.02
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$171.68 / $171.68 / $171.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.68 / $1,845.18 / $2,180.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.17 / $2,037.20 / $3,000.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$378.99 / $538.91 / $794.67
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$265.29 / $377.25 / $556.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.82 / $1,970.23 / $6,541.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,621.00 / $25,197.00 / $42,546.00