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Michigan 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
$2,432.86 / $4,684.05 / $28,919.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,083.49 / $29,440.64 / $39,887.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.71 / $2,228.15 / $2,673.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.53 / $4,933.00 / $40,010.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,438.00 / $11,732.00 / $15,000.00