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Georgia 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
$2,264.17 / $6,014.00 / $16,908.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $9,454.90 / $26,321.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.00 / $2,380.00 / $2,380.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,780.07 / $9,270.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.68 / $176.68 / $176.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.50 / $2,661.75 / $4,180.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$4,684.96 / $4,684.96 / $4,684.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$124.93 / $124.93 / $124.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$62.47 / $62.47 / $62.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,908.00 / $10,242.00 / $20,361.00