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Indiana rates for HCPCS 22804

Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,897.79 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $30,902.95 / $56,234.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,344.23 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,801.89 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $13,803.84 / $22,387.21