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Washington rates for HCPCS 22630

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

Facilitymedian $6,457 · 10th–90th $1,950–$83,1760%5%10th90th$6,457$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
$2,951.21 / $11,481.54 / $83,176.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $50,118.72 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $2,290.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,162.28 / $48,977.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,019.95 / $3,090.30
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,187.76 / $9,772.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $51,286.14 / $100,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $77,624.71 / $154,881.66