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Missouri 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
$2,054.48 / $5,691.00 / $13,095.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $7,058.00 / $20,450.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.48 / $3,464.50 / $9,485.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $6,058.00 / $19,082.00