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West Virginia 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
$134.90 / $134.90 / $1,698.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09