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Arizona 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
$1,671.00 / $5,125.00 / $9,555.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $5,434.01 / $8,773.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.80 / $2,042.41 / $9,978.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,441.19 / $2,441.19 / $47,165.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$390.59 / $390.59 / $7,546.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $7,899.00 / $13,500.00