go back

Ohio 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
$2,164.83 / $6,298.00 / $16,305.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $9,153.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.27 / $1,811.12 / $2,263.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.47 / $1,799.47 / $7,458.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,113.57 / $1,113.57 / $1,113.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$178.17 / $178.17 / $178.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,676.00