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New Hampshire 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
$100.00 / $793.83 / $8,965.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.42 / $550.42 / $550.42
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00