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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
$2,630.27 / $4,365.16 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $13,803.84 / $56,234.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $5,248.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $46,773.51 / $72,443.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $12,882.50 / $39,810.72