go back

Wisconsin rates for HCPCS 22852

Removal Posterior Segmental Instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.24 / $1,415.74 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,424.00 / $7,210.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.02 / $2,087.11 / $3,201.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.24 / $956.95 / $1,570.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.24 / $1,391.95 / $14,246.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.24 / $956.95 / $1,570.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.75 / $1,722.60 / $2,571.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,605.72 / $11,605.72 / $11,605.72
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$329.26 / $329.26 / $329.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00