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Alaska rates for HCPCS 22612

Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.77 / $11,709.00 / $43,264.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.32 / $7,620.34 / $10,668.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.32 / $7,620.34 / $10,668.48