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Wyoming 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
$4,567.60 / $4,567.60 / $4,567.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,931.20 / $15,931.20 / $15,931.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00