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Oklahoma 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
$1,456.00 / $4,309.99 / $8,510.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,271.00 / $9,962.39 / $15,740.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.88 / $2,633.14 / $22,392.22
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,412.00 / $14,511.00 / $24,508.10