go back

South 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
$630.96 / $4,897.79 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $18,620.87 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $891.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.74 / $40.74 / $40.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $295.12 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13