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Tennessee 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
$1,322.00 / $3,939.75 / $44,969.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,216.00 / $10,201.00 / $16,534.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,425.16 / $18,824.49
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,770.67 / $5,516.33 / $5,516.33
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$443.31 / $882.61 / $882.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,029.00 / $12,981.00 / $23,006.00