go back

New Mexico 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
$2,691.53 / $2,818.38 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $64,565.42 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $25,118.86 / $117,489.76