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Arizona rates for HCPCS 22630

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.00 / $5,238.00 / $8,790.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $7,312.30 / $11,806.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.03 / $1,972.73 / $15,169.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.58 / $380.58 / $722.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,560.00 / $10,420.00 / $16,841.00