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Missouri 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
$1,819.70 / $5,495.41 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,471.29 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $17,378.01 / $20,417.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,691.53 / $44,668.36
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,454.71 / $46,773.51 / $46,773.51
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$389.05 / $7,585.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $15,848.93