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Michigan rates for HCPCS 22630

Arthrodesis Posterior Interbody 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,103.21 / $5,757.00 / $21,492.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,601.14 / $44,132.68 / $59,792.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.18 / $4,933.00 / $21,492.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.00 / $11,464.00 / $15,000.00