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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
$721.18 / $1,853.43 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.10 / $16,700.00 / $33,821.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.89 / $896.86 / $1,034.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00