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Nebraska 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
$4,265.80 / $7,585.78 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,709.64 / $16,982.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $213.80 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.36 / $60.26 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88