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Pennsylvania 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;

Facilitymedian $7,244 · 10th–90th $1,950–$29,5120%5%10th90th$7,244$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$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
$1,949.84 / $7,244.36 / $28,183.83
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,760.83 / $40,738.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $41,686.94 / $102,329.30
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,495.41 / $30,902.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $4,265.80 / $11,481.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $11,748.98 / $87,096.36