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Iowa 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
$2,218.00 / $3,576.15 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.79 / $362.34 / $842.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.49 / $480.08 / $1,640.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.91 / $109.91 / $109.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.50 / $528.39 / $692.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,640.00 / $2,126.00