go back

Pennsylvania rates for HCPCS 22534

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.31 / $409.31 / $409.31
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$250.96 / $250.96 / $250.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.15 / $40.15 / $40.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.31 / $409.31 / $409.31
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$250.96 / $250.96 / $250.96
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.15 / $40.15 / $40.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.62 / $350.62 / $378.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$316.02 / $316.02 / $316.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00