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South Carolina rates for HCPCS 22612

Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.90 / $5,012.53 / $14,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,762.15 / $10,903.76 / $19,354.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,799.47 / $22,950.22
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.69 / $2,094.00 / $3,512.41
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$380.10 / $418.80 / $667.21
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$266.07 / $293.16 / $447.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00