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North Carolina 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
$478.63 / $1,862.09 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $758.58 / $1,949.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $7,585.78 / $7,585.78
Wellcare
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$758.58 / $758.58 / $758.58