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Texas 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 $1,995 · 10th–90th $257–$6,9180%5%10th90th$1,995$50.0$200.0$1.0K$5.0K

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
$630.96 / $2,511.89 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,311.31 / $8,511.38
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $208.93 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $1,479.11
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $467.74 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $537.03
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $954.99 / $2,398.83