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Kentucky 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
$99.70 / $787.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,099.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.52 / $147.65 / $175.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.09 / $134.09 / $134.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $926.00 / $3,481.00