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New York 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
$1,819.00 / $5,718.90 / $14,989.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.00 / $8,512.00 / $20,217.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.88 / $4,492.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.07 / $1,780.07 / $1,780.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.68 / $176.68 / $176.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,170.00 / $4,358.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.81 / $1,446.81 / $1,446.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,203.95 / $24,203.95 / $24,203.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.68 / $176.68 / $176.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $10,317.00 / $25,199.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.23 / $2,600.23 / $6,805.28