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Maine 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
$2,301.96 / $5,188.14 / $38,391.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.14 / $24,492.10 / $51,922.38