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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
$2,433.19 / $2,433.19 / $2,433.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,931.20 / $15,931.20 / $15,931.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,732.00 / $12,732.00 / $31,027.00