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Virginia 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 $1,000 · 10th–90th $251–$8,3180%5%10%10th90th$1,000Professionalmedian $257 · 10th–90th $204–$4070%20%10th90th$257$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $3,235.94 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $302.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $302.00 / $446.68
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,047.13 / $2,344.23