go back

Minnesota 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
$125.89 / $125.89 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3,715.35 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $457.09 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$22.91 / $22.91 / $22.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $436.52 / $851.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $245.47 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,951.21 / $8,511.38