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Georgia 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
$954.25 / $3,460.00 / $9,488.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,493.38 / $20,395.25 / $26,321.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.99 / $1,060.14 / $1,466.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.56 / $5,845.00 / $9,852.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$531.50 / $531.50 / $531.50
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.04 / $85.04 / $85.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.96 / $1,279.74 / $1,877.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$2,252.48 / $2,252.48 / $2,252.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
62
Low / Median / High Price
$703.90 / $703.90 / $703.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$60.07 / $60.07 / $60.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$30.03 / $30.03 / $30.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $1,800.00 / $24,000.00