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Ohio 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
$2,165.04 / $6,903.55 / $16,395.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.71 / $2,079.25 / $2,599.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.71 / $2,433.46 / $5,889.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,274.33 / $1,274.33 / $1,274.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.90 / $203.90 / $203.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,524.00 / $11,766.00 / $20,348.00