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Louisiana 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
$941.00 / $2,756.00 / $5,432.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,215.68 / $13,323.02 / $26,517.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.48 / $15,561.31 / $15,561.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00