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Illinois rates for HCPCS 22633

Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,888.44 / $30,199.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $38,904.51 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $15,135.61 / $19,498.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,548.13 / $13,182.57
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
$3,090.30 / $14,125.38 / $38,018.94