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Washington rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.36 / $6,858.58 / $23,000.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.27 / $46,149.28 / $90,281.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.48 / $4,738.06 / $6,661.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,418.15 / $4,649.49 / $4,911.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.34 / $3,259.34 / $3,350.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,050.80 / $47,196.58 / $90,281.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $7,614.00 / $24,236.00