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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
$1,258.93 / $2,754.23 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $12,302.69 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $18,620.87 / $18,620.87
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,882.50 / $22,908.68