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Washington, DC 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
$138.04 / $4,073.80 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $288.40 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $549.54 / $5,888.44