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Minnesota rates for HCPCS 22632

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.75 / $293.75 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.04 / $12,197.67 / $25,424.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.30 / $1,002.13 / $2,410.76
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.86 / $35.86 / $35.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.09 / $916.19 / $1,898.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.20 / $505.38 / $874.18
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.92 / $75.92 / $75.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00