go back

Idaho rates for HCPCS 22630

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.80 / $3,703.76 / $4,657.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.95 / $2,721.28 / $3,619.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,784.17 / $49,895.15 / $73,028.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $65,746.00