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Nebraska 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
$3,453.17 / $9,520.00 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,766.83 / $15,476.59 / $29,936.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.90 / $2,786.26 / $18,824.49
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,770.67 / $5,209.43 / $5,209.43
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$443.31 / $833.51 / $833.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.91 / $4,007.25 / $5,724.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,617.00 / $11,459.00 / $26,782.00