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Minnesota 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)

Facilitymedian $676 · 10th–90th $224–$1,6220%10%20%10th90th$676$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $575.44 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $812.83 / $1,905.46
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $426.58 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,862.09 / $5,370.32