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Oklahoma 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
$1,000.00 / $3,683.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,535.77 / $17,535.77 / $17,535.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.52 / $696.59 / $13,541.98
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.50 / $5,848.03 / $5,848.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,587.03