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Ohio 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
$952.71 / $2,292.00 / $9,504.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.00 / $2,786.00 / $3,264.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.26 / $872.71 / $1,090.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.56 / $2,748.68 / $7,080.21
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$531.50 / $531.50 / $531.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.04 / $85.04 / $85.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00