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Oklahoma 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
$1,392.00 / $4,856.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,716.34 / $22,716.34 / $22,716.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.79 / $1,703.28 / $13,541.98
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$262.95 / $7,575.71 / $7,575.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00