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Delaware 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
$4,061.31 / $9,768.41 / $77,249.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,400.21 / $15,400.21 / $15,400.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,863.82 / $2,863.82 / $9,314.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00