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Kentucky rates for HCPCS 22630

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

Facilitymedian $3,981 · 10th–90th $1,318–$10,7150%10%20%10th90th$3,981$50.0$200.0$1.0K$5.0K$20.0K

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
$1,584.89 / $3,890.45 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,949.84 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $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
AS
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $12,302.69 / $16,595.87