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Nebraska 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
$2,596.32 / $10,255.42 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.62 / $2,389.91 / $15,622.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.58 / $722.70 / $722.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,767.56 / $3,436.63 / $4,897.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00