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New York 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
$1,019.88 / $3,659.00 / $10,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.00 / $4,085.00 / $8,640.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.89 / $4,336.50 / $13,009.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.06 / $928.06 / $928.06
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,230.84 / $2,234.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.97 / $745.97 / $745.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $37,776.00
MVP Health Care
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$569.25 / $569.25 / $569.25
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$91.08 / $91.08 / $91.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.63 / $1,343.63 / $3,995.93