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New York 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
$199.53 / $4,365.16 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $229.09 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$22.91 / $22.91 / $22.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $213.80 / $446.68
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $4,897.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $223.87 / $691.83