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Pennsylvania rates for HCPCS 22612

Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.19 / $5,350.00 / $38,474.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,919.68 / $38,844.54 / $115,565.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.00 / $6,029.00 / $27,771.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.47 / $1,799.47 / $1,799.47
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,113.57 / $1,113.57 / $1,113.57
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.17 / $178.17 / $178.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.82 / $1,549.82 / $1,549.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,534.98 / $1,534.98 / $1,534.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00