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Wyoming 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
$2,454.71 / $2,454.71 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $18,197.01 / $29,512.09