go back

California rates for HCPCS 22843

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure)

Facilitymedian $9,550 · 10th–90th $1,995$17,7830%10%10th90th$9,550Professionalmedian $832 · 10th–90th $617$1,6980%20%10th90th$832$50.0$200.0$1.0K$5.0K$20.0K$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
$1,778.28 / $6,025.60 / $17,378.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $11,481.54 / $18,620.87
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $3,801.89 / $7,079.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $741.31 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $851.14 / $1,995.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,011.87 / $5,011.87
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,584.89 / $7,585.78