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Oklahoma 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
$1,456.00 / $5,946.00 / $18,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,628.58 / $22,628.58 / $22,628.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.59 / $2,282.34 / $14,063.00
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,587.03