go back

Washington 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.15 / $2,812.16 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $663.19 / $7,723.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$414.48 / $1,377.59 / $1,377.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$66.31 / $220.41 / $220.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.72 / $940.65 / $1,259.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.95 / $910.50 / $980.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.19 / $662.19 / $663.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,156.35 / $54,156.35 / $54,156.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00