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Pennsylvania rates for HCPCS 22116

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,818.38 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,398.83 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $281.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $141.25 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80