go back

Montana 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
$30,112.71 / $30,112.71 / $44,505.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.77 / $2,491.77 / $2,491.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.91 / $1,692.50 / $2,491.77