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Alaska rates for HCPCS 22867

Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,020.21 / $9,813.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.26 / $5,122.37 / $7,171.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.26 / $5,122.37 / $7,171.32