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Massachusetts 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
$1,749.00 / $2,898.00 / $7,190.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.00 / $6,474.00 / $36,845.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.58 / $380.58 / $763.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $3,000.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.69 / $2,491.11 / $8,208.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,861.93 / $6,699.20 / $37,923.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $7,292.00 / $17,462.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.58 / $380.58 / $763.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00