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Virginia 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 $1,380 · 10th–90th $776–$10,9650%10%10th90th$1,380Professionalmedian $955 · 10th–90th $631–$1,4450%10%10th90th$955$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,238.72 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $812.83 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,445.44 / $1,737.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,548.82
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,047.13 / $34,673.69