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Ohio 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
$2,376.78 / $7,501.00 / $12,672.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,932.00 / $41,639.47 / $76,926.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,157.89 / $2,354.06 / $3,427.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
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
$4,873.00 / $10,529.00 / $15,469.00