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Delaware 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
$6,316.00 / $6,316.00 / $6,907.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,459.94 / $15,459.94 / $15,459.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,665.36 / $2,665.36 / $2,665.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00