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Massachusetts rates for HCPCS 22612

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

Facilitymedian $4,074 · 10th–90th $1,738–$8,5110%5%10%10th90th$4,074$100.0$500.0$2.0K$10.0K$50.0K

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
$1,737.80 / $4,073.80 / $8,128.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $7,413.10 / $44,668.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$47,863.01 / $47,863.01 / $47,863.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,041.74 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,918.31 / $15,488.17
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $5,495.41 / $38,904.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $7,413.10 / $44,668.36
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$47,863.01 / $47,863.01 / $47,863.01
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,165.95 / $25,703.96