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Washington rates for HCPCS 22612

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

Facilitymedian $5,129 · 10th–90th $1,995–$46,7740%5%10%10th90th$5,129$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$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
$2,951.21 / $13,803.84 / $38,904.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $48,977.88 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $39,810.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,235.94 / $29,512.09
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $3,235.94
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,187.76 / $6,456.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $50,118.72 / $100,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $50,118.72 / $100,000.00