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Idaho 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
$1,194.47 / $1,786.34 / $7,045.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.31 / $1,451.77 / $1,801.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $49,016.00