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North Carolina 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 $2,692 · 10th–90th $1,047–$14,7910%10%10th90th$2,692Professionalmedian $2,291 · 10th–90th $2,291–$2,2910%50%100%$2,291$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $6,165.95 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $25,703.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,230.27 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $15,488.17 / $23,442.29
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $77,624.71 / $77,624.71
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47