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New Jersey 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
$606.00 / $5,244.00 / $9,950.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,668.98 / $31,281.82 / $59,657.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00