go back

Wisconsin rates for HCPCS 22840

Posterior Non-Segmental Instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.32 / $1,894.00 / $14,208.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,842.00 / $6,842.00 / $7,870.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.03 / $861.64 / $1,116.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.55 / $2,113.42 / $3,242.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.32 / $1,027.43 / $1,800.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.30 / $1,209.00 / $2,090.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.32 / $1,027.43 / $1,800.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.69 / $1,793.09 / $2,676.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,069.26 / $12,069.26 / $12,069.26
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,142.04 / $2,142.04 / $2,142.04
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$342.73 / $342.73 / $342.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90