| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $124.17 | $259.74 | $259.74 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $124.17 | $259.74 | $259.74 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |