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Missouri 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
$487.70 / $2,598.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,762.00 / $20,057.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,956.00 / $17,112.00 / $20,580.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.25 / $727.61 / $6,332.20
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
$245.00 / $1,264.00 / $11,566.00