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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
$1,122.02 / $4,365.16 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,481.54 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,288.25 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.82 / $128.82 / $128.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $2,691.53
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,606.93 / $17,782.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,318.26 / $3,162.28