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Idaho 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
$3,509.44 / $4,365.71 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.23 / $2,952.36 / $4,402.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,890.63 / $49,895.15 / $73,028.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,900.00 / $12,798.00 / $39,332.00