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Colorado 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
$2,551.00 / $6,028.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,999.00 / $26,120.00 / $67,429.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,182.77 / $20,182.77 / $50,000.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.92 / $1,268.86 / $1,872.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.60 / $1,570.38 / $2,093.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$28.48 / $28.48 / $28.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $13,967.00 / $20,534.00