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New York rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,535.55 / $5,477.93 / $12,424.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,760.00 / $10,037.00 / $19,299.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,412.51 / $3,412.51 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.50 / $2,767.50 / $2,767.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $3,582.00 / $6,551.42
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,242.50 / $2,242.50 / $2,242.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $37,776.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $7,719.00 / $19,689.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,054.71 / $4,054.71 / $11,521.26