| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
MountainHealth Co-op
| Facility | $407.38 | $416.87 | $446.68 | |
Providence
| Facility | $213.80 | $295.12 | $537.03 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
MountainHealth Co-op
| Facility | $407.38 | $416.87 | $446.68 | |
Providence
| Facility | $213.80 | $295.12 | $537.03 |