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Oregon 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
$3,090.30 / $7,943.28 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,162.28 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,454.71 / $4,265.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,019.95 / $3,162.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,398.83 / $3,388.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $58,884.37 / $89,125.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $26,302.68 / $117,489.76