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West Virginia 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
$1,074.43 / $1,400.00 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.43 / $1,126.43 / $1,397.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.95 / $1,217.95 / $1,217.95
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.06 / $121.06 / $121.06