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Nebraska 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
$415.05 / $3,908.01 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.05 / $726.34 / $1,775.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$722.54 / $1,377.59 / $1,377.59
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$115.61 / $220.41 / $220.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.10 / $1,059.68 / $1,526.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00