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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
$1,698.24 / $2,238.72 / $16,982.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $38,904.51 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,165.95 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$309.03 / $309.03 / $309.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $6,025.60 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,548.13 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,317.64 / $43,651.58