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California rates for HCPCS 22804

Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $10,471.29 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,982.44 / $28,840.32
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $100.00 / $12,882.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $5,128.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $38,018.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,019.95 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $17,782.79 / $38,904.51