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