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Kentucky 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
$1,659.59 / $3,388.44 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$269.15 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $6,760.83 / $15,488.17