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California 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
$1,820.00 / $6,695.00 / $18,252.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,362.00 / $16,106.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,668.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,340.00 / $6,894.76 / $12,348.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.72 / $879.45 / $1,187.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.52 / $991.14 / $1,800.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $6,414.84 / $19,913.50
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$173.35 / $1,887.52 / $1,887.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.91 / $968.39 / $1,331.53
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $252.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,366.00 / $13,555.00 / $29,312.00