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Washington, DC 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
$446.68 / $4,073.80 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $933.25 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,489.63 / $63,095.73