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South Carolina 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
$2,041.74 / $9,120.11 / $32,359.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $17,782.79 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$309.03 / $309.03 / $309.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $23,442.29 / $43,651.58