go back

South 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
$371.54 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $11,481.54 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $14,791.08 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$22.91 / $22.91 / $22.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $323.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $194.98 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13