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Texas rates for HCPCS 22634

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; each additional interspace (List separately in addition to code for primary procedure)

Facilitymedian $1,905 · 10th–90th $468–$6,1660%5%10th90th$1,905$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$616.60 / $2,238.72 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $912.01 / $3,311.31
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $2,041.74 / $5,128.61
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $467.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $3,019.95
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $776.25 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $588.84 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Providence
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $954.99 / $2,398.83