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Louisiana 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
$860.00 / $2,447.00 / $5,260.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.20 / $16,692.36 / $38,321.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.58 / $983.58 / $983.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00