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Massachusetts 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
$1,485.00 / $2,663.12 / $3,693.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,097.00 / $15,421.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.50 / $112.50 / $5,848.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.75 / $923.84 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,097.00 / $15,421.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.50 / $112.50 / $5,848.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00