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West 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.55 / $383.17 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.27 / $256.27 / $323.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.48 / $275.48 / $275.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$27.03 / $27.03 / $27.03