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Arizona rates for HCPCS 22842

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $2,114.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.40 / $3,300.84 / $5,432.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.64 / $937.00 / $1,977.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,139.24 / $1,139.24 / $2,168.54
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.28 / $182.28 / $346.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00