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Arkansas rates for HCPCS 22102

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.02 / $1,397.00 / $4,478.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,727.30 / $6,727.30 / $8,072.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,967.35 / $4,967.35 / $4,967.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,635.00 / $8,676.00