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Indiana 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
$1,122.02 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $30,199.52 / $43,651.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $758.58 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $17,378.01