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Kentucky 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
$638.70 / $988.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,099.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.80 / $951.48 / $1,162.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.56 / $866.56 / $922.43
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $19,085.00