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Illinois rates for HCPCS 0221T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,168.69 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $10,471.29 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $776.25 / $1,698.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,348.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,495.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,047.13 / $2,290.87