| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.22 | $4,540.00 | $10,202.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
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 | $157.22 | $4,540.00 | $10,202.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |