go back

Massachusetts rates for HCPCS 22633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $3,236.66 / $7,791.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,910.00 / $6,029.00 / $27,633.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,770.67 / $2,770.67 / $5,516.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$443.31 / $443.31 / $882.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,633.41 / $20,683.62 / $20,683.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,811.86 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.58 / $1,279.66 / $35,320.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,157.00 / $17,973.00
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,770.67 / $2,770.67 / $5,516.33
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$443.31 / $443.31 / $882.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.00 / $7,157.00 / $14,101.00