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New Jersey 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
$1,094.32 / $6,628.00 / $11,798.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,975.47 / $50,833.85 / $96,952.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00