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New Hampshire 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
$100.00 / $4,024.14 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,495.37 / $74,732.42 / $90,489.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.50 / $2,767.50 / $2,767.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,629.00 / $12,629.00 / $12,629.00