CPT code 22614: Spinal fusion, each additional level2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $349.23 for 22614 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 22614 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 22614 covers

This add-on describes an additional spinal level fused through a posterior or posterolateral approach. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, may perform multilevel fusion in an operating room for conditions such as spinal instability or degenerative disease. The surgeon’s operative report should identify the vertebral levels treated and the fusion technique used.

Report 22614 for each additional level after the primary posterior or posterolateral fusion code, such as 22600 for cervical, 22610 for thoracic, or 22612 for lumbar fusion. It cannot be reported by itself. Documentation should distinguish each fused level from instrumentation or other work performed at the same levels. CMS treats 22614 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 22614

Across 109 of 109 payment localities, the facility rate for 22614 runs from $298.34 in Wisconsin to $458.49 in Miami, FL. Montana pays $349.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

22614 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 22614 in every payment locality

How the 22614 rate is calculated

Each of 22614’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 22614

The CMS indicators that decide how 22614 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 22614

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 22614 has changed in Montana

Price 22614 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates