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Virginia rates for HCPCS 22804

Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,888.44 / $13,182.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,151.93 / $117,489.76 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $3,162.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,265.80 / $5,623.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $4,897.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $18,197.01 / $40,738.03