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North Carolina 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
$378.98 / $1,918.50 / $7,869.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.98 / $565.47 / $856.49
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$98.60 / $133.40 / $178.88
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$69.02 / $93.38 / $125.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $6,093.64 / $6,093.64
Wellcare
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$334.76 / $583.51 / $1,154.33
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$53.56 / $93.36 / $184.69