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Minnesota rates for HCPCS 22843

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.97 / $754.97 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.96 / $760.00 / $2,797.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.67 / $2,577.59 / $6,200.74
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$569.25 / $569.25 / $569.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$91.08 / $91.08 / $91.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,651.52 / $2,356.54 / $4,882.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.24 / $1,275.90 / $2,089.91
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,219.83 / $1,219.83 / $1,219.83
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$195.17 / $195.17 / $195.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00