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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
$6,309.57 / $24,547.09 / $52,480.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $23,988.33 / $52,480.75