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Missouri 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
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.18 / $1,154.41 / $1,737.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $14,717.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.00 / $1,221.26 / $1,898.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.13 / $1,428.00 / $2,473.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.44 / $1,477.65 / $5,187.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.11 / $1,524.84 / $8,158.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.97 / $1,384.34 / $2,341.69