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Arizona rates for HCPCS 22103

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,023.29 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $190.55 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.36 / $32.36 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $2,187.76