go back

Idaho rates for HCPCS 22612

Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,657.00 / $5,519.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,850.96 / $16,850.96 / $16,898.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.16 / $2,815.42 / $3,744.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,016.18 / $46,554.36 / $73,028.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00