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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $7,943.28 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $2,089.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $29,512.09