| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.85 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $215.90 | $261.86 | $373.77 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $238.85 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $215.90 | $261.86 | $373.77 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |