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New York 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)

Facilitymedian $5,129 · 10th–90th $1,072–$12,5890%5%10%10th90th$5,129$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,630.78 / $11,481.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $9,772.37 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,288.25 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,174.90 / $2,691.53
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,511.89 / $4,897.79
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,258.93 / $3,801.89