| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.48 | $1,083.00 | $3,109.00 | |
United
| Facility | $130.00 | $328.00 | $768.00 |
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 | $285.48 | $1,083.00 | $3,109.00 | |
United
| Facility | $130.00 | $328.00 | $768.00 |