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Texas 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

Facilitymedian $3,981 · 10th–90th $1,000–$17,7830%10%10th90th$3,981$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $3,715.35 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $22,908.68 / $47,863.01
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $977.24 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $77,624.71
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,513.56 / $6,165.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,258.93 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $8,128.31 / $16,595.87