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Kansas 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
$1,848.00 / $4,758.00 / $13,151.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.71 / $697.39 / $6,969.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,407.00 / $12,989.00