go back

Massachusetts rates for HCPCS 22558

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $2,955.00 / $7,203.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.00 / $6,474.00 / $36,845.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,353.94 / $2,353.94 / $4,653.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$376.63 / $376.63 / $744.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,370.48 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.75 / $1,931.75 / $6,052.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $7,292.00 / $17,462.00
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,353.94 / $2,353.94 / $4,653.54
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$376.63 / $376.63 / $744.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00