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Pennsylvania rates for HCPCS 22852

Removal of posterior segmental instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.92 / $4,761.00 / $10,689.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.07 / $809.07 / $809.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.45 / $80.45 / $80.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.67 / $8,054.29 / $12,696.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.65 / $5,079.00 / $10,689.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.07 / $809.07 / $809.07
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.45 / $80.45 / $80.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.15 / $693.15 / $795.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00