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Alaska rates for HCPCS 22868

Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $6,606.93 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,174.90 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $302.00 / $1,621.81