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Arizona 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 $3,890 · 10th–90th $1,585–$8,3180%5%10%10th90th$3,890$100.0$500.0$2.0K$10.0K$50.0K

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
$1,737.80 / $3,715.35 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $7,413.10 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$112.20 / $112.20 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,413.10 / $12,022.64