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Connecticut 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
$3,943.00 / $7,629.00 / $13,387.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,154.00 / $10,509.00 / $17,206.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $38,608.56 / $38,608.56
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,527.11 / $19,994.59 / $23,250.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00