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Mississippi 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
$555.00 / $993.00 / $1,831.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,824.75 / $13,824.75 / $13,824.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,051.92 / $11,253.02 / $12,440.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,800.00 / $14,043.00