go back

Maryland 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
$891.25 / $7,413.10 / $15,848.93
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,995.26 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,388.44 / $5,888.44