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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
$1,800.83 / $4,236.74 / $10,544.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,259.46 / $12,259.46 / $17,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.83 / $2,435.57 / $3,409.79
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$487.11 / $487.11 / $844.30
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$330.03 / $340.98 / $591.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,806.00 / $25,735.00 / $43,834.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,425.16 / $18,425.16
Wellcare
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,570.84 / $2,770.67 / $5,516.33
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$251.33 / $443.31 / $882.61