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Tennessee 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
$652.51 / $1,592.26 / $6,885.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $148.00 / $8,921.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,500.00 / $11,883.48 / $12,164.88
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,139.24 / $2,252.01 / $2,252.01
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.28 / $360.32 / $360.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $23,619.00