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Texas rates for HCPCS 22558

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

Facilitymedian $3,715 · 10th–90th $1,230–$15,4880%10%10th90th$3,715$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,168.69 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,754.23 / $10,000.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,288.25 / $3,981.07
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $30,199.52 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $112,201.85
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,089.30 / $5,888.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,949.84 / $3,388.44
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,019.95
Providence
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $11,748.98 / $27,542.29