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Oklahoma 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
$882.00 / $3,195.12 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $940.92 / $4,132.00
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00