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Tennessee 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
$428.60 / $1,848.30 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $150.00 / $9,363.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,544.88 / $7,723.24
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$722.54 / $1,429.34 / $1,429.34
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$115.61 / $228.69 / $228.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00