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West 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
$774.15 / $1,209.23 / $2,625.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.77 / $906.92 / $1,133.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.56 / $866.56 / $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