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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
$1,017.00 / $4,004.00 / $4,601.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.41 / $983.97 / $983.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00