| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $3,162.28 | $7,762.47 | |
Kaiser Permanente
| Professional | $223.87 | $501.19 | $549.54 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 |
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 | $251.19 | $3,162.28 | $7,762.47 | |
Kaiser Permanente
| Professional | $223.87 | $501.19 | $549.54 | |
United
| Facility | $165.96 | $549.54 | $5,888.44 |