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North Carolina rates for HCPCS 22852

Removal of posterior segmental instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.93 / $1,615.00 / $13,764.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.93 / $947.14 / $1,399.05
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$166.59 / $228.80 / $311.39
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$116.61 / $160.16 / $217.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $11,371.08 / $11,371.08
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$99.50 / $177.44 / $355.29