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Massachusetts 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
$736.60 / $1,823.00 / $3,625.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.62 / $1,832.59 / $5,500.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,139.24 / $1,139.24 / $2,252.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.28 / $182.28 / $360.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,178.18 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.98 / $977.52 / $1,138.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $2,217.00 / $9,965.34
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,139.24 / $1,139.24 / $2,252.01
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.28 / $182.28 / $360.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00