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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.79 / $3,633.00 / $17,670.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $866.56
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$531.50 / $531.50 / $531.50
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.04 / $85.04 / $85.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.35 / $908.37 / $1,073.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.71 / $1,025.57 / $1,590.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$192.47 / $318.00 / $431.11
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$134.72 / $222.60 / $301.77
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.80 / $983.53 / $1,669.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,375.00