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North Carolina 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
$1,615.00 / $5,872.86 / $13,764.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,491.89 / $9,491.89 / $13,562.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.42 / $2,097.85 / $3,089.41
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$374.83 / $470.40 / $724.72
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$262.38 / $329.28 / $507.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,463.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,000.00 / $15,921.72 / $15,921.72
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$217.02 / $380.58 / $763.43