go back

Pennsylvania 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
$882.00 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,393.00 / $11,479.00 / $18,724.00
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,074.60 / $5,074.60 / $14,561.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.98 / $875.98 / $875.98
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $87.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.85 / $761.66 / $761.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00