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Missouri 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
$1,819.70 / $4,677.35 / $13,182.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,471.29 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $17,378.01 / $20,417.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,818.38 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,754.23 / $5,248.07 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$446.68 / $831.76 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $22,908.68