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South Carolina 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 $7,762 · 10th–90th $550–$22,9090%5%10%10th90th$7,762$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
$1,412.54 / $7,244.36 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $18,620.87 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $17,782.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $562.34 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $16,982.44 / $27,542.29