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Nationwide rates for HCPCS 22869

Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level

Facilitymedian $5,754 · 10th–90th $851$18,6210%5%10th90th$5,754Professionalmedian $646 · 10th–90th $407$1,8620%10%10th90th$646$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$891.25 / $3,801.89 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,481.54 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,380.38 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $9,120.11 / $22,387.21