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Illinois rates for HCPCS 22103

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $2,570.40 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,862.09 / $3,548.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $239.88 / $1,230.27
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27