go back

Texas 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
$1,148.15 / $3,890.45 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,265.80 / $10,471.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $2,187.76 / $2,238.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $38,018.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,162.28 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,162.28 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $10,964.78 / $23,988.33