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Nebraska 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
$2,022.84 / $10,255.42 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,054.93 / $21,054.93 / $21,054.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.78 / $2,454.12 / $13,361.40
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,441.19 / $47,165.25 / $47,165.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$390.59 / $7,546.44 / $7,546.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,809.08 / $3,789.45 / $26,367.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00