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Idaho 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
$4,415.00 / $4,500.00 / $8,439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,916.32 / $16,916.32 / $16,963.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.42 / $1,586.30 / $2,555.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,594.87 / $46,554.36 / $73,028.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00