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Alaska 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.66 / $2,167.56 / $3,034.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.66 / $2,167.56 / $3,034.58