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Wisconsin rates for HCPCS 22612

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

Facilitymedian $15,136 · 10th–90th $4,467–$30,2000%10%10th90th$15,136Professionalmedian $3,548 · 10th–90th $2,344–$5,1290%10%20%10th90th$3,548$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,479.11 / $26,915.35 / $36,307.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $16,982.44 / $29,512.09
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,949.84 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,570.88 / $7,762.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,235.94 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,467.37 / $16,595.87
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $10,715.19 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,548.13 / $5,128.61
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $79,432.82 / $79,432.82
Quartz
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $50,118.72
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $7,943.28
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $14,125.38 / $18,197.01