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Arizona 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
$2,344.23 / $5,888.44 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,888.44 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,754.23 / $19,952.62
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,754.23 / $2,754.23 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$446.68 / $446.68 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $14,791.08 / $24,547.09