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Texas 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)

Facilitymedian $2,754 · 10th–90th $186–$10,4710%5%10%10th90th$2,754$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $5,128.61 / $14,454.40
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $3,630.78 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $4,073.80
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $218.78 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $186.21 / $316.23
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $954.99 / $2,290.87