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Louisiana 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
$941.00 / $2,972.77 / $6,012.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,310.43 / $20,353.22 / $27,742.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.51 / $19,378.48 / $19,378.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $12,200.00 / $26,848.00