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West Virginia 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
$423.67 / $646.94 / $1,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.50 / $456.50 / $545.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.30 / $491.30 / $491.30
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$48.50 / $48.50 / $48.50