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Removal of Bone From a Lower-Back Vertebra

South Dakota rates for HCPCS 22102

Removes part of the bony arch at the back of a vertebra in the lower spine — the projections, the roof of the canal, or a small joint surface — to take out an abnormality growing within the bone itself. It treats a problem in the bone rather than a disc or a nerve pinch. It covers one vertebra.

Facilitymedian $1,288 · 10th–90th $776$4,3650%20%10th90th$1,288Professionalmedian $1,288 · 10th–90th $309$1,6220%10%20%10th90th$1,288$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,819.70
Typical High
$1,819.70
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$1,513.56
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08