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New Hampshire 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
$100.00 / $192.42 / $8,965.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.09 / $134.09 / $134.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00