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South Carolina rates for HCPCS 22630

Arthrodesis Posterior Interbody 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.11 / $16,467.00 / $57,458.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.46 / $15,705.45 / $43,667.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,780.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.68 / $176.68 / $176.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.06 / $2,067.00 / $3,492.58
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$364.35 / $419.82 / $712.78
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$255.05 / $289.38 / $498.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $19,915.00 / $30,476.00