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Oregon 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
$3,630.78 / $15,135.61 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,548.13 / $4,265.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $20,892.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,467.37 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,754.23 / $4,365.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $58,884.37 / $89,125.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $35,481.34 / $117,489.76