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Alaska 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
$3,418.75 / $11,709.00 / $43,264.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.04 / $8,654.66 / $12,116.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.04 / $8,654.66 / $12,116.52