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Kentucky 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
$204.04 / $787.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,099.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.52 / $303.73 / $360.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.48 / $275.48 / $275.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$27.03 / $27.03 / $27.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00