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Colorado 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
$1,144.00 / $3,889.00 / $9,872.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.57 / $290.31 / $417.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.80 / $348.38 / $464.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$6.32 / $6.32 / $6.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00