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Alaska rates for HCPCS 22114

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.66 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.86 / $5,297.83 / $5,297.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,651.51 / $3,528.22 / $4,834.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.86 / $5,297.83 / $7,416.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,833.55 / $3,400.26 / $6,902.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,055.00 / $5,451.10 / $6,962.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.53 / $5,297.83 / $7,416.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.33 / $5,052.39 / $7,180.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,822.58 / $4,939.52 / $6,209.68