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Virginia rates for HCPCS 22632

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.97 / $3,633.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.30 / $365.30 / $640.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.86 / $35.86 / $35.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.54 / $382.25 / $451.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.72 / $431.78 / $667.90
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$80.18 / $112.09 / $181.27
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.12 / $78.45 / $126.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.66 / $421.65 / $819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00