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Maine 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
Professional
Modifier
Low / Median / High Price
$915.44 / $1,155.41 / $1,378.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.31 / $1,541.70 / $2,211.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.15 / $1,654.34 / $2,395.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.35 / $1,671.11 / $2,563.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.55 / $1,145.28 / $1,378.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.82 / $1,385.68 / $2,247.41