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New York 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
$507.28 / $3,948.00 / $12,075.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,464.00 / $7,631.00 / $14,193.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.45 / $544.45 / $13,009.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.46 / $444.46 / $14,648.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$272.63 / $272.63 / $272.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$43.62 / $43.62 / $43.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $865.00 / $1,920.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.07 / $357.07 / $357.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.46 / $555.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$272.63 / $272.63 / $272.63
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$43.62 / $43.62 / $43.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.27 / $643.27 / $1,946.73