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Wisconsin 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
$125.89 / $269.15 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $389.05 / $630.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $269.15 / $10,471.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $295.12 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $436.52
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84