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Michigan 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
$4,897.79 / $4,897.79 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $724.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,754.40 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $11,481.54 / $39,810.72