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Missouri 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

Facilitymedian $4,898 · 10th–90th $1,479$12,0230%5%10th90th$4,898$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,235.94 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $7,244.36 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $707.95 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$112.20 / $5,888.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,677.35 / $12,022.64