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Connecticut 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
$2,411.00 / $5,194.00 / $8,031.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,154.00 / $10,509.00 / $17,206.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $29,803.70 / $29,803.70
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.67 / $2,588.09 / $20,667.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,336.00 / $17,069.00