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Arizona rates for HCPCS 22634

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; each additional interspace (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $2,300.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.40 / $3,321.60 / $5,432.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.47 / $645.66 / $1,977.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$722.54 / $722.54 / $1,377.59
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$115.61 / $115.61 / $220.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,326.00