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Colorado 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
$1,532.00 / $4,955.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,999.00 / $26,120.00 / $67,429.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,579.99 / $15,579.99 / $49,077.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.28 / $535.00 / $778.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.80 / $642.00 / $856.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$11.64 / $11.64 / $11.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $13,967.00 / $20,534.00