| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $249.24 | $271.89 | $317.20 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |
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 | $988.00 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $249.24 | $271.89 | $317.20 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |