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Washington rates for HCPCS 22804

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

Facilitymedian $5,754 · 10th–90th $2,951–$33,1130%5%10%10th90th$5,754$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$4,570.88 / $7,943.28 / $22,908.68
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $45,708.82 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,897.79 / $33,113.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,677.35 / $4,677.35
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,388.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $45,708.82 / $91,201.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $50,118.72 / $100,000.00