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Pennsylvania rates for HCPCS 22840

Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.30 / $1,819.00 / $5,750.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.77 / $858.77 / $858.77
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$526.61 / $526.61 / $526.61
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$84.26 / $84.26 / $84.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.26 / $3,019.64 / $3,563.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.50 / $1,633.00 / $5,958.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.77 / $858.77 / $858.77
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$526.61 / $526.61 / $526.61
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$84.26 / $84.26 / $84.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.93 / $737.93 / $840.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$793.25 / $793.25 / $793.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00