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Pennsylvania rates for HCPCS 22633

Arthrodesis Combined Tq 1ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.37 / $5,079.00 / $24,049.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.71 / $2,059.71 / $2,059.71
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,274.33 / $1,274.33 / $1,274.33
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.90 / $203.90 / $203.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,926.63 / $39,586.14 / $113,068.53
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,195.29 / $2,195.29 / $2,195.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.00 / $5,350.00 / $22,357.91
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,059.71 / $2,059.71 / $2,059.71
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,274.33 / $1,274.33 / $1,274.33
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.90 / $203.90 / $203.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.76 / $1,769.18 / $1,769.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.00 / $6,742.00 / $12,841.00