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Missouri 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
$2,013.14 / $5,493.00 / $13,913.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $7,461.00 / $20,057.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.44 / $2,476.16 / $11,000.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.58 / $380.58 / $722.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $7,904.00 / $19,082.00