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Iowa 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
$4,626.70 / $6,098.00 / $10,255.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.86 / $2,340.94 / $4,107.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.11 / $3,836.85 / $31,554.43
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$47,165.25 / $47,165.25 / $47,165.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$7,546.44 / $7,546.44 / $7,546.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,931.00 / $4,202.28 / $26,367.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22