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New York rates for HCPCS 22630

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

Facilitymedian $7,079 · 10th–90th $2,138–$20,4170%10%10th90th$7,079$50.0$200.0$1.0K$5.0K$20.0K$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
$1,905.46 / $5,888.44 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $9,772.37 / $21,379.62
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $2,691.53 / $50,118.72
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
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,344.23 / $5,888.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $35,481.34
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $8,128.31 / $23,988.33
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,630.27 / $6,760.83