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Oklahoma 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
$1,000.00 / $3,467.37 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $229.09 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.36 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $707.95 / $1,659.59