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Colorado 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
$740.62 / $3,889.00 / $16,963.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.63 / $1,012.91 / $1,333.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.63 / $1,099.95 / $1,466.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$23.47 / $23.47 / $23.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $3,352.00