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Ohio 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
$1,558.70 / $6,251.00 / $11,581.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,969.00 / $9,153.00 / $60,320.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.07 / $1,033.16 / $1,504.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.95 / $1,217.95 / $1,217.95
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.06 / $121.06 / $121.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $9,125.00 / $18,211.00