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Minnesota 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
$447.13 / $447.13 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $580.80 / $1,915.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.85 / $1,526.49 / $3,672.17
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$337.64 / $337.64 / $337.64
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.02 / $54.02 / $54.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.05 / $1,395.58 / $2,891.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.13 / $775.75 / $1,387.76
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$722.54 / $722.54 / $722.54
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$115.61 / $115.61 / $115.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00