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Virginia 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 $4,266 · 10th–90th $1,950–$21,8780%5%10%10th90th$4,266Professionalmedian $2,042 · 10th–90th $1,622–$4,2660%20%10th90th$2,042$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,897.79 / $13,182.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $74,131.02 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,041.74 / $2,454.71
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,290.87 / $3,467.37
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,398.83 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $25,118.86 / $46,773.51