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North Carolina 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 / $4,265.80 / $10,715.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $25,703.96 / $43,651.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $18,620.87 / $18,620.87
Wellcare
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09