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New Mexico 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
$1,583.76 / $7,838.38 / $8,226.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.14 / $18,250.21 / $29,738.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,528.14 / $1,972.16 / $3,361.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00