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Minnesota 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
$1,713.86 / $7,414.00 / $17,080.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,632.16 / $32,422.94 / $66,228.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,147.70 / $5,884.98 / $14,157.12
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
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,770.63 / $5,380.28 / $11,147.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,830.72 / $3,455.76 / $12,736.54
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,770.67 / $2,770.67 / $2,770.67
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$443.31 / $443.31 / $443.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,276.00 / $12,506.00 / $25,695.00