go back

New York 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
$1,003.00 / $4,452.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.90 / $2,972.50 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.98 / $875.98 / $875.98
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $87.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,117.00 / $2,027.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.56 / $715.56 / $715.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $87.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,762.00 / $16,961.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.65 / $1,303.65 / $3,160.17