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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

Facilitymedian $5,888 · 10th–90th $1,698–$12,3030%10%10th90th$5,888$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $3,630.78 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,606.93 / $13,182.57
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,318.26 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $7,413.10 / $14,791.08