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Washington rates for HCPCS 22842

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)

Facilitymedian $1,698 · 10th–90th $891–$10,2330%5%10%10th90th$1,698$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,412.54 / $4,466.84 / $18,620.87
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
$776.25 / $1,122.02 / $1,862.09
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,445.44 / $1,513.56
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $645.65 / $5,754.40