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Indiana rates for HCPCS 22630

Arthrodesis Posterior Interbody 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.93 / $4,846.00 / $10,985.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $33,179.40 / $58,226.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.54 / $1,779.10 / $2,052.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,882.00 / $25,047.00