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West Virginia 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 / $14,454.40 / $35,481.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,090.30 / $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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $40,738.03 / $147,910.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $75,857.76