go back

Tennessee 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
$1,384.96 / $3,604.35 / $19,514.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,216.00 / $10,266.00 / $16,534.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,361.40 / $79,615.70 / $79,615.70
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,441.19 / $47,165.25 / $47,165.25
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$390.59 / $7,546.44 / $7,546.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00