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North Dakota 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
$1,543.59 / $17,453.65 / $17,453.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,521.32 / $14,036.62 / $14,141.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.59 / $2,013.78 / $2,624.10