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Oklahoma 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
$852.67 / $3,683.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $980.57 / $4,126.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,219.83 / $2,323.71 / $2,323.71
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$195.17 / $371.79 / $371.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00