go back

Missouri 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
$818.00 / $3,232.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $6,000.00 / $13,384.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.57 / $1,146.50 / $9,241.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,139.24 / $1,139.24 / $2,168.54
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.28 / $182.28 / $346.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $3,233.00 / $23,526.00