go back

Tennessee 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
$1,362.27 / $3,604.00 / $53,982.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,216.00 / $10,205.00 / $16,534.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,000.00 / $15,921.72 / $16,256.07
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$380.58 / $763.43 / $763.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $19,168.00