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Missouri 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
$1,621.81 / $3,548.13 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,288.25 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.98 / $1,905.46 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,265.80 / $11,481.54