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Georgia 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
$338.84 / $5,370.32 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,819.70 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $2,238.72 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$22.91 / $22.91 / $22.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$5.25 / $5.25 / $5.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,513.56 / $2,511.89