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New Mexico 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
$1,000.00 / $7,838.38 / $8,644.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,036.01 / $58,800.82 / $88,415.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.54 / $1,057.39 / $1,502.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00