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Nebraska 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
$654.85 / $3,908.01 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.85 / $1,145.99 / $2,174.92
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,139.24 / $2,168.54 / $2,168.54
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.28 / $346.97 / $346.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.98 / $1,668.11 / $2,346.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00