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Minnesota 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
$1,468.87 / $1,468.87 / $7,859.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,713.09 / $32,422.94 / $66,228.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,559.26 / $5,050.07 / $12,148.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.68 / $176.68 / $176.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.69 / $4,616.97 / $9,565.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.77 / $2,554.61 / $7,527.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.58 / $380.58 / $380.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00