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Kentucky 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
$896.00 / $1,136.48 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.00 / $6,410.00 / $14,034.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.19 / $1,374.30 / $1,585.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.95 / $1,217.95 / $1,217.95
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.06 / $121.06 / $121.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00