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Kentucky 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
$361.09 / $787.00 / $5,320.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.00 / $6,410.00 / $14,034.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.08 / $556.95 / $642.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.30 / $491.30 / $491.30
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$48.50 / $48.50 / $48.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00