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Kentucky 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
$1,032.00 / $2,667.61 / $7,702.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $8,584.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.32 / $2,265.73 / $2,769.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.71 / $2,059.71 / $2,059.71
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,274.33 / $1,274.33 / $1,274.33
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.90 / $203.90 / $203.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.00 / $6,378.00 / $18,870.00