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Indiana 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
$1,634.91 / $5,576.85 / $12,320.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $31,608.00 / $58,226.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.24 / $1,989.05 / $2,376.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,619.00 / $16,114.00 / $25,940.00