go back

Georgia rates for HCPCS 22870

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,365.16 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $165.96 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,513.56 / $2,511.89