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Minnesota 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 $4,169 · 10th–90th $1,738–$63,0960%5%10th90th$4,169$500.0$2.0K$10.0K$50.0K

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
$1,023.29 / $1,023.29 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $35,481.34 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,715.35 / $8,912.51
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $2,041.74 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $6,760.83 / $45,708.82