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North Carolina 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
$310.39 / $3,105.18 / $5,449.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.39 / $458.50 / $667.57
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$80.18 / $108.20 / $146.51
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.12 / $75.73 / $98.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,198.32 / $4,981.89 / $5,000.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$43.78 / $75.92 / $150.72