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Washington, DC 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
$1,129.05 / $4,100.00 / $7,007.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.25 / $2,474.19 / $2,474.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00