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Virginia rates for HCPCS 22852

Removal of posterior segmental instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.01 / $5,412.00 / $13,209.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,112.00 / $37,782.72 / $52,623.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $809.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.45 / $80.45 / $80.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.85 / $875.06 / $1,034.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.64 / $930.06 / $1,387.53
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$166.59 / $228.80 / $359.84
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$116.61 / $160.16 / $251.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.59 / $900.53 / $3,289.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00