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Kentucky 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
$113.46 / $637.00 / $2,747.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,099.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.14 / $172.41 / $215.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.81 / $152.81 / $171.17
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$14.95 / $14.95 / $14.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00