go back

North Carolina 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
$131.88 / $1,245.00 / $8,413.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,914.39 / $3,914.39 / $3,971.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $13,652.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.88 / $181.00 / $295.07
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.15 / $25.34 / $41.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.51 / $3,554.36 / $4,044.74
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.36 / $32.54 / $63.40