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Pennsylvania rates for HCPCS 22612

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

Facilitymedian $7,244 · 10th–90th $1,905–$48,9780%5%10th90th$7,244$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
$1,905.46 / $7,244.36 / $47,863.01
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $58,884.37
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,760.83 / $48,977.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $37,153.52 / $123,026.88
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,754.40 / $23,988.33
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $4,786.30 / $15,488.17
Martin's Point
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$58,884.37 / $58,884.37 / $58,884.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $1,548.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,309.57 / $56,234.13