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Texas rates for HCPCS 22612

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

Facilitymedian $4,786 · 10th–90th $1,230–$20,8930%5%10%10th90th$4,786$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,000.00 / $3,890.45 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $17,378.01 / $40,738.03
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $7,943.28 / $38,904.51
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $15,848.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $44,668.36 / $75,857.76
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$47,863.01 / $47,863.01 / $47,863.01
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,187.76 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,995.26 / $3,548.13
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $8,317.64 / $16,982.44