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Washington 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
$1,479.11 / $7,762.47 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,290.87 / $10,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,584.89 / $9,549.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,584.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,071.52 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $21,379.62 / $41,686.94