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Louisiana 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
$549.33 / $1,520.00 / $3,779.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.20 / $12,517.17 / $30,619.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.56 / $387.56 / $387.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,034.00 / $13,506.00