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New Hampshire 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
$100.00 / $2,637.28 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,000.00 / $75,000.00 / $83,200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.47 / $1,799.47 / $1,799.47
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00