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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
$1,380.38 / $3,388.44 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $9,120.11 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,888.44 / $22,387.21
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $15,848.93 / $25,703.96