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Minnesota 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
$1,515.14 / $2,575.73 / $17,453.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.68 / $32,422.94 / $66,228.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,662.80 / $5,196.99 / $12,502.05
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,113.57 / $1,113.57 / $1,113.57
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.17 / $178.17 / $178.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,329.82 / $4,751.29 / $9,844.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.36 / $2,622.75 / $7,241.12
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,441.19 / $2,441.19 / $2,441.19
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$390.59 / $390.59 / $390.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00