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Wyoming 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,251.20 / $11,251.20 / $11,251.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00