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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
$1,745.49 / $5,297.89 / $19,879.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.80 / $26,263.11 / $45,360.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $14,975.00 / $19,446.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.80 / $3,220.59 / $11,171.97
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
$2,594.00 / $9,596.00 / $32,367.00