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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
$1,830.72 / $5,224.00 / $13,095.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $7,461.00 / $20,057.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.28 / $2,762.95 / $10,401.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,770.67 / $2,770.67 / $5,209.43
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$443.31 / $443.31 / $833.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,945.00 / $7,904.00 / $28,513.00