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North Carolina 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
$235.83 / $689.00 / $7,362.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.83 / $335.66 / $443.56
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$45.89 / $46.99 / $77.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,764.32 / $3,764.32
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$33.09 / $57.75 / $114.09