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Minnesota 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
$776.25 / $776.25 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $13,803.84 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.82 / $128.82 / $128.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,412.54 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,332.54 / $13,182.57