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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
$6,903.55 / $6,903.55 / $28,006.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.52 / $2,139.02 / $2,673.78
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
$8,211.08 / $41,233.18 / $148,029.26