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West Virginia 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
$1,400.00 / $2,472.64 / $5,251.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.40 / $1,854.48 / $2,318.10
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
$19,433.46 / $22,801.57 / $84,077.69