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New York 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
$645.00 / $3,599.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.00 / $8,170.00 / $16,083.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.95 / $2,390.00 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.42 / $550.42 / $14,648.00
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $569.79 / $1,325.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.11 / $442.11 / $442.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.42 / $555.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$337.64 / $337.64 / $337.64
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.02 / $54.02 / $54.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.60 / $796.60 / $1,466.89