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Washington 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 $309 · 10th–90th $166–$17,7830%5%10%10th90th$309$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
$245.47 / $7,943.28 / $20,892.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,995.26 / $2,290.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $338.84
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $251.19 / $275.42
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $549.54 / $5,754.40