go back

Iowa 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
$4,693.00 / $5,549.00 / $7,943.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.15 / $1,563.91 / $3,295.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.75 / $2,536.66 / $34,041.66
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$7,575.71 / $7,575.71 / $7,575.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.00 / $2,596.11 / $27,439.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22