| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,094.32 | $6,628.00 | $11,798.00 | |
Horizon BCBS
| Facility | $40,975.47 | $50,833.85 | $96,952.92 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,094.32 | $6,628.00 | $11,798.00 | |
Horizon BCBS
| Facility | $40,975.47 | $50,833.85 | $96,952.92 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |