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Massachusetts 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
$1,758.00 / $2,733.00 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $947.00 / $2,796.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.54 / $32.54 / $63.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $300.00 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.51 / $1,856.00 / $4,044.74
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.54 / $32.54 / $63.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00