go back

Indiana 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
$681.65 / $4,846.00 / $6,828.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.60 / $25,768.00 / $40,604.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.98 / $823.73 / $988.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $5,520.00