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Illinois rates for HCPCS 0222T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,344.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $389.05 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $616.60
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
$380.19 / $398.11 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $676.08