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Missouri rates for HCPCS 22614

Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.40 / $2,507.00 / $8,485.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $7,461.00 / $20,057.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.46 / $590.54 / $5,114.62
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$583.51 / $583.51 / $1,112.64
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.36 / $93.36 / $178.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,261.00 / $10,339.00