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Indiana 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
$181.97 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $407.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $128.82 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,238.72 / $7,413.10