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North Carolina 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 / $2,511.89 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $15,488.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,905.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $14,791.08 / $22,908.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $19,952.62 / $19,952.62
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26