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Missouri 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
$818.00 / $3,158.00 / $8,485.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,762.00 / $20,057.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.83 / $484.07 / $5,000.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.92 / $75.92 / $145.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,264.00 / $11,566.00