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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
$5,623.41 / $8,709.64 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $15,488.17 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $31,622.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,818.38 / $22,908.68
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
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,073.80 / $5,754.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $31,622.78 / $31,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $16,218.10 / $36,307.81