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Maryland 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
$1,592.69 / $8,690.59 / $13,900.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $13,252.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.79 / $2,167.52 / $2,790.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00