| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $183.50 | $183.50 | $183.50 | |
Providence
| Facility | $90.18 | $99.19 | $183.50 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $183.50 | $183.50 | $183.50 | |
Providence
| Facility | $90.18 | $99.19 | $183.50 |