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Nationwide rates for HCPCS 22633

Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $6,025.60 / $19,952.62
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$14,454.40 / $14,454.40 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $13,803.84 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $4,466.84 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$309.03 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $14,125.38 / $37,153.52