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